Active NPI
Heartland Home Care, LLC
Doing business as ProMedica Home Health (Dundee)
- Home Health Agency
- Dundee, MI
National Provider Identifier
1669467338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEARTLAND HOME CARE, LLC
- Doing business as
- ProMedica Home Health (Dundee)
- Practice address
- 100 Powell Dr Ste 1
Dundee, MI 48131 - Phone
- (517) 266-1481
- Fax
- (517) 266-1530
- NPI assigned
- Sep 19, 2005
- Last updated
- Jan 23, 2022
- Organization subpart
- Yes
- Parent organization
- PROMEDICA HEALTH SYSTEM
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
- Director
- Phone
- (419) 252-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
100 Powell Dr Ste 1
Dundee, MI 48131
Mailing address
333 N Summit St
Toledo, OH 43604-1531
Phone (419) 252-5734
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4646708 | Medicaid | MI | |
| 10013 | Other | OH | PARAMOUNT HEALTH CARE |
| 141089 | Other | MI | CARE CHOICES |
| 141089 | Other | MI | TRINITY HEALTH PLANS |
Other names 1
- ProMedica Home Health (Dundee)
National Provider Directory
National Provider Directory- Part of
- Promedica Health System
Locations
100 Powell Dr
Ste 1
Dundee, MI 48131
Phone (517) 266-1481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642896000000",
"number": "1669467338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531",
"telephone_number": "419-252-5734",
"fax_number": "800-480-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 POWELL DR STE 1",
"city": "DUNDEE",
"state": "MI",
"postal_code": "48131",
"telephone_number": "517-266-1481",
"fax_number": "517-266-1530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND HOME CARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROMEDICA HEALTH SYSTEM",
"enumeration_date": "2005-09-19",
"last_updated": "2022-01-23",
"certification_date": "2022-01-23",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "419-252-5734"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4646708",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT HEALTH CARE",
"identifier": "10013",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "141089",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRINITY HEALTH PLANS",
"identifier": "141089",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ProMedica Home Health (Dundee)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dundee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.