Heartland Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEARTLAND HOME CARE LLC

Practice address

564 Progress Street
West Branch, MI 48661-9382

Phone

(989) 345-1797

Fax

(989) 345-0964

NPI assigned

May 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ProMedica Home Health (West Branch) Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Midwest Rockets HH, LLC

  • Home Health Agency
  • West Branch, MI
  • NPI 1073214177

  Sold to, 2023-11-01

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1366496861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: DEAN SHIPMAN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-254-7841",
            "fax_number": "419-252-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 PROGRESS STREET",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619382",
            "telephone_number": "989-345-1797",
            "fax_number": "989-345-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1419638",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Home Health (West Branch)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Home Health (West Branch)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin J Hawkins
• Melonie Hayes, LLBSW, QIDP
• Crystal Ann Haymond, LPC
• Healing Solutions Therapy LLC
• Healthy Image Skin and Body Clinic PLLC
• Tiffany Lynn Heckman-Smith
• Henry Ford Health System
• David Hickman, NP
• Andrew Hilton
• Histodiagnostic Laboratories

• Home Health Agency in West Branch, MI
• Providers in West Branch, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.