NPIMap

Organization Active NPI

Heartland Hospice Services LLC

  • Community Based Hospice Care Agency
  • Chadds Ford, PA
National Provider Identifier
1437190899
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
16841601 Issued in PA
Legal business name
HEARTLAND HOSPICE SERVICES LLC
Practice address
5 Christy Dr
Suite 103
Chadds Ford, PA 19317-9667
Phone
(484) 840-0811
Fax
(484) 840-0818
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X
Community Based Hospice Care Agency 251G00000X 16841601 PA Primary

Addresses

Primary practice location

5 Christy Dr
Suite 103
Chadds Ford, PA 19317-9667

Mailing address

333 N Summit St
Attn: Legal Department
Toledo, OH 43604-2615
Phone (419) 252-5500

Other identifiers 1

IdentifierTypeStateIssuer
1007723140011MedicaidPA

Other names 1

  • ProMedica Hospice (Chadds Ford) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200630003037 PA Part B Supplier - Clinic/Group Practice 4789592536 Receives reassigned benefits from 5 practitioners
7 other NPIs on this enrollment
Practice locations: Chambersburg, PA; York, PA; Wyomissing, PA; Chadds Ford, PA; Carlisle, PA; Blue Bell, PA; Allentown, PA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5 Christy Dr
Ste 103
Chadds Ford, PA 19317
Phone (484) 840-0811

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Nov 1, 2023 Change of OwnershipThis provider was the seller Heartland Hospice (Chadds Ford)CCN 391684, PA, NPI 1275232795

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1437190899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: LEGAL DEPARTMENT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHRISTY DR",
            "address_2": "SUITE 103",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179667",
            "telephone_number": "484-840-0811",
            "fax_number": "484-840-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOSPICE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "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": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "16841601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007723140011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Chadds Ford)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Chadds Ford)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chadds Ford, PA

Sources for this page

Verify at the official NPI Registry.