NPIMap

Organization Active NPI

Heartland Hospice Services, Inc.

Doing business as ProMedica Hospice (Beltsville)

  • Community Based Hospice Care Agency
  • Beltsville, MD
National Provider Identifier
1881893493
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
H1542 Issued in MD
Legal business name
HEARTLAND HOSPICE SERVICES, INC.
Doing business as
ProMedica Hospice (Beltsville)
Practice address
12304 Baltimore Ave
Suite a
Beltsville, MD 20705-1314
Phone
(240) 264-1692
Fax
(240) 264-1696
NPI assigned
Jul 13, 2007
Last updated
Jan 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND HOSPICE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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 - Reimbursement
Phone
(419) 252-5541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X H1542 MD Primary

Addresses

Primary practice location

12304 Baltimore Ave
Suite a
Beltsville, MD 20705-1314

Mailing address

333 N Summit St
Attn Dean Shipman
Toledo, OH 43604-1531
Phone (419) 252-5500

Other identifiers 3

IdentifierTypeStateIssuer
043271703MedicaidMD
04321702MedicaidMD
043270900MedicaidMD

Other names 1

  • ProMedica Hospice (Beltsville) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Hospice SVCS LLC33 organizations share this tax ID, including this one
Part of
Heartland Hospice SVCS LLC

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642896000000",
    "number": "1881893493",
    "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": "419-252-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 BALTIMORE AVE",
            "address_2": "SUITE A",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051314",
            "telephone_number": "240-264-1692",
            "fax_number": "240-264-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOSPICE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND HOSPICE SERVICES, INC.",
        "enumeration_date": "2007-07-13",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENT",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MD",
            "license": "H1542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043271703",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04321702",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043270900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Beltsville)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.