Heartland Hospice Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

07-006341-1 Issued in IN

Legal business name

HEARTLAND HOSPICE SERVICES LLC

Doing business as

ProMedica Hospice (Ft. Wayne)

Practice address

1315 Directors Row
Suite 210
Ft Wayne, IN 46808-1284

Phone

(260) 484-7622

Fax

(260) 484-7619

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Barry A Lazarus

Title

Vice President - Reimbursements

Phone

(419) 252-5541

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ProMedica Hospice (Ft. Wayne) Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Heartland Hospice Services LLC

  dba ProMedica Hospice (Indianapolis)

  • Community Based Hospice Care Agency
  • Indianapolis, IN
  • NPI 1023061686

  O20200625000097

  Same enrollment

Change-of-ownership history 1

Change of ownership 1

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

• Curo Health Services, LLC

  dba Heartland

  • Community Based Hospice Care Agency
  • Fort Wayne, IN
  • NPI 1013616515

  Sold to, 2023-11-01

  CMS change of ownership

Practitioners 3

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.

• Kathleen Eaton

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1730628868
  NPD
• Alexis Ann Manring, FNP

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1720418080
  NPD
• Paula Vnuk

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1508362765
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1851343768",
    "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": "436041531",
            "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": "1315 DIRECTORS ROW",
            "address_2": "SUITE 210",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "468081284",
            "telephone_number": "260-484-7622",
            "fax_number": "260-484-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOSPICE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "07-006341-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200142900(A)",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200142900D",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Ft. Wayne)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Ft. Wayne)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heart of Families LLC (Heart Of Families Medical Services)
• Heart to Heart Hospice of Northeast Indiana, LLC
• Hearth at Sycamore Village
• Heartland Communities Inc
• Heartland Home Care LLC (ProMedica Home Health (Ft. Wayne))
• Heartland Hospice Services, LLC (ProMedica Hospice (Ft. Wayne))
• Heath Lisenby, LLC (Lisenby Counseling)
• Dustin Joseph Heath, DNP, CRNA
• Melanie J. Heath, NP
• Vickie S Heath, MS, MHA, LMHC

• Community Based Hospice Care Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.