Active NPI
Heartland Home Care, LLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- HEARTLAND HOME CARE, LLC
- Practice address
- 2840 Electric Rd Ste 106a
Roanoke, VA 24018-3551 - Phone
- (540) 725-7600
- NPI assigned
- May 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin David Allen
- Title
- Sole Director
- Phone
- (419) 252-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
2840 Electric Rd Ste 106a
Roanoke, VA 24018-3551
Mailing address
PO Box 10086
Toledo, OH 43699-0086
Phone (567) 585-1191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629470745 | Medicaid | VA |
Other names 1
- ProMedica Hospice (Roanoke)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191206000039 | VA | Part B Supplier - Clinic/Group Practice | 4789592817 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lynchburg, VA; Roanoke, VA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community Based Hospice Care Agency
- Roanoke, VA
- NPI 1629470745
O20191206000039
National Provider Directory
National Provider Directory- Tax ID family
- Heartland Home Care LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Topeka, KS
- NPI 1699714709
-
- Community Based Hospice Care Agency
- Simpsonville, SC
- NPI 1285759399
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Independence, OH
- NPI 1386383974
Member organizations 5
Organizations listed as members of this organization in the National Provider Directory.
Locations (25 of 33)
3657 Cortez Rd W
Ste 100
Bradenton, FL 34210
Phone (941) 744-1101
628 N Indiana Ave
Englewood, FL 34223
Phone (941) 473-1519
1469 Colonial Blvd
Ste 201
Fort Myers, FL 33907
Phone (239) 437-0909
1400 Colonial Blvd
Ste 65
Fort Myers, FL 33907
Phone (239) 437-0909
20646 Abbey Woods Ct N
Ste 305
Frankfort, IL 60423
Phone (815) 806-1000
3210 W Kellogg Dr
Wichita, KS 67213
Phone (316) 788-7626
3243 E Murdock St
Wichita, KS 67208
Phone (316) 500-8900
12304 Baltimore Ave
Ste A
Beltsville, MD 20705
Phone (240) 264-1690
8201 Corporate Dr
Ste 120
Landover, MD 20785
Phone (301) 731-4356
3840 Packard St
Ste 240
Ann Arbor, MI 48108
Phone (734) 677-8140
630 N State St
Caro, MI 48723
Phone (989) 672-0445
4125 Embassy Dr SE
Grand Rapids, MI 49546
Phone (616) 956-0636
500 Cascade West Pkwy SE
Grand Rapids, MI 49546
Phone (616) 956-5585
1212 S Telegraph Rd
Ste G
Monroe, MI 48161
Phone (734) 242-1320
2074 S Custer Rd
Monroe, MI 48161
Phone (734) 242-1320
6500 Busch Blvd
Ste 210
Columbus, OH 43229
Phone (614) 433-0423
3131 S Dixie Dr
#221
Moraine, OH 45439
Phone (937) 297-0548
107 Howard St
Mount Vernon, OH 43050
Phone (740) 392-1450
1507 W Main St
Newark, OH 43055
Phone (740) 322-6070
35 Bierly Rd
Ste 2
Portsmouth, OH 45662
Phone (740) 353-0423
3521 E Jackson St
Ste B
Hugo, OK 74743
Phone (580) 326-7353
1100 N Porter Ave
Ste 104
Norman, OK 73071
Phone (405) 307-9814
11212 N May Ave
Ste 110
Oklahoma City, OK 73120
5800 E Skelly Dr
Ste 500
Tulsa, OK 74135
Phone (918) 270-4628
1200 Walnut Bottom Rd
Ste 302
Carlisle, PA 17015
Phone (717) 240-0018
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Virginia Beach, VA
- NPI 1932172756
-
- Gerontology Nurse Practitioner
- Wyomissing, PA
- NPI 1821256256
-
- Gerontology Nurse Practitioner
- Green, OH
- NPI 1104342138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1497490205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10086",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436990086",
"telephone_number": "567-585-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 ELECTRIC RD STE 106A",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183551",
"telephone_number": "540-725-7600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-05",
"last_updated": "2022-05-05",
"certification_date": "2022-04-19",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "SOLE DIRECTOR",
"authorized_official_telephone_number": "419-252-5734"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629470745",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ProMedica Hospice (Roanoke)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.