Active NPI
Heartland Hospice Services, LLC
- Community Based Hospice Care Agency
- Lincoln, NE
National Provider Identifier
1609597590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEARTLAND HOSPICE SERVICES, LLC
- Practice address
- 3801 Union Dr Ste 202
Lincoln, NE 68516-6778 - Phone
- (402) 858-3700
- Fax
- (402) 858-3701
- NPI assigned
- Sep 8, 2022
- Organization subpart
- Yes
- Parent organization
- HEARTLAND HOSPICE SERVICES, LLC
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3801 Union Dr Ste 202
Lincoln, NE 68516-6778
Mailing address
PO Box 10086
Toledo, OH 43699-0086
Phone (567) 585-1197
Other names 1
- ProMedica Hospice (Lincoln)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Heartland Hospice-Tulsa
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Nov 1, 2023 | Change of Ownership | Heartland Hospice (Lincoln) |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Lincoln, NE
- NPI 1255030763
Sold to, 2023-11-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662595200000",
"number": "1609597590",
"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": "567-585-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 UNION DR STE 202",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166778",
"telephone_number": "402-858-3700",
"fax_number": "402-858-3701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND HOSPICE SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEARTLAND HOSPICE SERVICES, LLC",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"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": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ProMedica Hospice (Lincoln)",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Heart in Hands Developmental Center
- Heartland Hospice Services, LLC
- Heartland Optical Inc.
- Heartland Optical Inc.
- Heartland Optical Inc.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.