Active NPI
Heartland Hospice Services LLC
Doing business as ProMedica Hospice (Des Moines)
- Community Based Hospice Care Agency
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEARTLAND HOSPICE SERVICES LLC
- Doing business as
- ProMedica Hospice (Des Moines)
- Practice address
- 1701 48TH St Ste 220
West Des Moines, IA 50266-6723 - Phone
- (419) 252-5500
- NPI assigned
- Aug 10, 2021
- Last updated
- Jan 30, 2023
- 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
- Director
- Phone
- (419) 252-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1701 48TH St Ste 220
West Des Moines, IA 50266-6723
Mailing address
PO Box 10086
Toledo, OH 43699-0086
Phone (567) 585-1197
Other names 1
- ProMedica Hospice (Des Moines)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
1701 48th St
Ste 220
West Des Moines, IA 50266
Phone (515) 346-3321
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Nov 1, 2023 | Change of Ownership | Heartland Hospice (Des Moines) |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Heartland Hospice (Des Moines)
- Community Based Hospice Care Agency
- Ames, IA
- NPI 1043911753
Sold to, 2023-11-01
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Rock Island, IL
- NPI 1316598493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1760157986",
"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": "1701 48TH ST STE 220",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502666723",
"telephone_number": "419-252-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND HOSPICE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-10",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"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": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ProMedica Hospice (Des Moines)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Des Moines, IA
- Healthy Aging and Memory Clinic
- Hearsite, Inc (Buyhear)
- Heart and Mind Counseling
- Heart of Gloria Clinical Services, LLC
- Heart of Iowa Midwifery & Birth Services
- Heartland Hospice Services, LLC (ProMedica Hospice (Des Moines))
- Heartland Podiatry
- Alissa Marie Heasley, LISW
- Kaitlyn Hecksel
- Whitney Hedrick, MOT, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.