Active NPI
In Home Health LLC
- Community Based Hospice Care Agency
- West Branch, MI
National Provider Identifier
1689628109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 633524
- Legal business name
- IN HOME HEALTH LLC
- Practice address
- 564 Progress Street
West Branch, MI 48661-9382 - Phone
- (989) 345-0651
- Fax
- (989) 345-0964
- NPI assigned
- May 20, 2006
- 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
- Mr. Martin D Allen
- Title
- Director
- Phone
- (419) 252-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 633524 | MI | Primary |
Addresses
Primary practice location
564 Progress Street
West Branch, MI 48661-9382
Mailing address
333 N Summit St
Attn: Dean Shipman
Toledo, OH 43604-2615
Phone (419) 254-7841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1430930 | Medicaid | MI |
Other names 1
- Heartland Home Care and Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Nov 1, 2023 | Change of Ownership | Heartland Hospice (West Branch) |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- West Branch, MI
- NPI 1467152140
Sold to, 2023-11-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493769600000",
"number": "1689628109",
"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": "989-345-0651",
"fax_number": "989-345-0964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2017-05-03",
"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": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MI",
"license": "633524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1430930",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland Home Care and Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.