Heartland Hospice Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HEARTLAND HOSPICE SERVICES LLC

Doing business as

ProMedica Hospice (Bad Axe)
ProMedica Hospice (Bay City)
ProMedica Hospice (Mt. Pleasant)

Practice address

1320 Waldo Ave Ste 300
Midland, MI 48642-5898

Phone

(989) 667-3440

Fax

(989) 667-3437

NPI assigned

May 19, 2006

Last updated

Apr 15, 2022By the provider in NPPES

Organization subpart

No

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 2

Addresses

Other identifiers 1

Other names 3

• ProMedica Hospice (Bad Axe) Doing business as
• ProMedica Hospice (Bay City) Doing business as
• ProMedica Hospice (Mt. Pleasant) Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Odyssey Healthcare Holding Company

  dba Heartland

  • Community Based Hospice Care Agency
  • Midland, MI
  • NPI 1306546080

  Sold to, 2023-11-01

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1760435796",
    "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": "1320 WALDO AVE STE 300",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486425898",
            "telephone_number": "989-667-3440",
            "fax_number": "989-667-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1171 S Van Dyke Rd Ste C&d",
            "address_purpose": "LOCATION",
            "city": "Bad Axe",
            "state": "MI",
            "postal_code": "484139624",
            "country_code": "US",
            "telephone_number": "989-269-2522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1627 E Broomfield St",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488585429",
            "country_code": "US",
            "telephone_number": "989-772-2541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEARTLAND HOSPICE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "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": "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1451313",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Bad Axe)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Bay City)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Mt. Pleasant)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthway Chiropractic, Inc.
• Healthy Minds of Michigan
• Heartland Home Care LLC (ProMedica Home Health (Bay City))
• Heartland Home Health Care Services, LLC (Heartland Home Health Care)
• Heartland Hospice Services LLC
• Heartland Hospice Services, LLC (ProMedica Hospice (Bay City))
• Heartland Hospice Services, LLC (ProMedica Hospice (Bay City))
• Bradley Gerard Hebert, LLPC
• Jeffrey David Hedlund, M.A., L.P.C.
• Rebecca Hegyi, PA-C

• Community Based Hospice Care Agency in Midland, MI
• Providers in Midland, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.