Heartland Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HEARTLAND HOSPICE LLC

Doing business as

Heartland Home Health and Hospice LLC

Practice address

2398 5TH Ave.
Ste. 101
Bell Fourche, SD 57717

Phone

(605) 723-4663

Fax

(605) 723-4667

NPI assigned

Nov 7, 2022

Last updated

Nov 7, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

HEARTLAND HOME HEALTH LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jesika Lyn Floyd

Title

Administrator

Phone

(605) 723-4663

Specialties & licenses 1

Addresses

Other names 1

• Heartland Home Health and Hospice LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831807106. Details of each certification follow.

• CCN 431523 Hospice · Active · Details

Hospice certification: CCN 431523

Legal name

HEARTLAND HOSPICE LLC

Doing business as

HEARTLAND HOME HEALTH & HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 12, 2024

Last certification

Apr 5, 2024

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

319 Summit St
Belle Fourche, SD 57717-2069

Listed as

Heartland Home Health & Hospice LLCCCN 431523 · All quality measures

Certified

Apr 12, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Heartland Home Health LLC

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Heartland Home Health LLC

  • Home Health Agency
  • Belle Fourche, SD
  • NPI 1912177874
  NPPES parent name

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.

• Jesika Garrett, LPN

  • Licensed Practical Nurse
  • Buffalo, SD
  • NPI 1508245358
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Deborah Kullerd, MD

  • Family Medicine Physician
  • Nemo, SD
  • NPI 1528031499

  Hospice

  Care Compare affiliation
• Kelsey Raye Nylander, D.O.

  • Family Medicine Physician
  • Spearfish, SD
  • NPI 1124345103

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1831807106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 5TH AVE.",
            "address_2": "STE. 101",
            "city": "BELL FOURCHE",
            "state": "SD",
            "postal_code": "57717",
            "telephone_number": "605-723-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 5TH AVE.",
            "address_2": "STE. 101",
            "city": "BELL FOURCHE",
            "state": "SD",
            "postal_code": "57717",
            "telephone_number": "605-723-4663",
            "fax_number": "605-723-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND HOME HEALTH LLC",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "JESIKA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-723-4663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Home Health and Hospice LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.