Active NPI
Heartland Hospice Services, LLC
Doing business as ProMedica Hospice (Beltsville)
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Beltsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- HEARTLAND HOSPICE SERVICES, LLC
- Doing business as
- ProMedica Hospice (Beltsville)
- Practice address
- 12304 Baltimore Ave Ste a
Beltsville, MD 20705-1314 - Phone
- (240) 264-1692
- NPI assigned
- Jun 3, 2022
- Last updated
- Jun 3, 2022
- 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
12304 Baltimore Ave Ste a
Beltsville, MD 20705-1314
Mailing address
333 N Summit St
Toledo, OH 43604-1531
Phone (567) 585-1191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0432717 | Medicaid | MD |
Other names 1
- ProMedica Hospice (Beltsville)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba ProMedica Hospice (Baltimore)
- Community Based Hospice Care Agency
- Windsor Mill, MD
- NPI 1568415032
O20200629003654
-
dba ProMedica Hospice (Baltimore)
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Windsor Mill, MD
- NPI 1972242261
O20200629003654
National Provider Directory
National Provider DirectoryLocations (25 of 77)
365 Savannah Rd
Lewes, DE 19958
Phone (302) 645-6237
750 Prides Xing
Ste 110
Newark, DE 19713
Phone (302) 737-7080
5661 Ocheltree Ln
Wilmington, DE 19808
Phone (302) 239-2961
1540 Midland Ct NE
Ste 104
Cedar Rapids, IA 52402
Phone (319) 213-9087
2322 E Kimberly Rd
Ste 130N
Davenport, IA 52807
Phone (563) 359-3540
1660 Embassy West Dr
Ste 150
Dubuque, IA 52002
Phone (563) 584-9223
1660 Embassy West Dr
Ste 301
Dubuque, IA 52002
Phone (563) 584-9223
1000 4th St
Ste 4
Fulton, IL 61252
Phone (815) 589-9900
1426 10th Ave
Ste 3
Fulton, IL 61252
Phone (815) 589-9900
4900 38th Ave
Ste 1
Moline, IL 61265
Phone (309) 757-7152
363 Financial Ct
Unit 300
Rockford, IL 61107
Phone (815) 282-2279
4960 E State St
Rockford, IL 61108
Phone (815) 227-4917
6885 Vistagreen Way
Rockford, IL 61107
Phone (815) 282-2279
33 E Main St
Chesterfield, IN 46017
Phone (765) 378-0323
230 W Catalpa Dr
Ste D
Mishawaka, IN 46545
Phone (574) 257-7551
500 E Springhill Dr
Ste D
Terre Haute, IN 47802
Phone (812) 234-2590
4501 College Blvd
Ste 250
Leawood, KS 66211
Phone (913) 362-0044
4601 College Blvd
Ste 160
Leawood, KS 66211
Phone (913) 362-0044
2231 SW Wanamaker Rd
Ste 200
Topeka, KS 66614
Phone (785) 271-6500
2231 SW Wanamaker Rd
Ste 202
Topeka, KS 66614
Phone (785) 256-9632
4 E Rolling Xrds
Ste 307
Catonsville, MD 21228
Phone (410) 719-8670
1300 Eisenhower Pl
Ste 1390
Ann Arbor, MI 48108
Phone (734) 677-8140
1171 S Van Dyke Rd
Ste Cd
Bad Axe, MI 48413
Phone (989) 269-2472
5986 Cass City Rd
Cass City, MI 48726
Phone (989) 872-4452
1321 S Linden Rd
Ste B
Flint, MI 48532
Phone (248) 221-2573
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Terrence G Metzger | Corporate Officer | Nov 1, 2023 | |
| Martin D Allen | Corporate Director | Sep 30, 2012 | |
| Operational/Managerial Control | Sep 22, 2017 | ||
| HCR Manor Care Services LLC | Operational/Managerial Control | Dec 21, 2007 | |
| Beverly Dean | Contracted Managing Employee | Aug 31, 2021 | |
| HCR Healthcare, LLC | 5% Or Greater Indirect Ownership Interest | Dec 21, 2007 | 100% |
| Dean Shipman | W-2 Managing Employee | May 1, 2016 | |
| Kathryn H Hoops | Corporate Officer | Nov 7, 2007 | |
| Stephen M Sadowski | Corporate Officer | Nov 1, 2023 | |
| Justin Skiver | Corporate Officer | Aug 29, 2023 | |
| Andrea Sype | Corporate Officer | Jan 1, 2021 | |
| HCR Manorcare, Inc. | 5% Or Greater Indirect Ownership Interest | Jul 26, 2018 | 100% |
| HCR Home Health Care and Hospice LLC | 5% Or Greater Direct Ownership Interest | Dec 21, 2007 | 100% |
| Eric J Talbert | Corporate Officer | Jun 24, 2013 | |
| Promedica Health System Inc | 5% Or Greater Indirect Ownership Interest | Jul 26, 2018 | 100% |
Practitioners & affiliated clinicians
Practitioners 52
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.
-
- Adult Health Nurse Practitioner
- Pikesville, MD
- NPI 1366154007
-
- Nurse Practitioner
- Linthicum Heights, MD
- NPI 1023365988
-
- Acute Care Nurse Practitioner
- Laurel, MD
- NPI 1023714862
-
- Family Nurse Practitioner
- Rock Island, IL
- NPI 1316598493
-
- Adult Health Nurse Practitioner
- Shawnee, OK
- NPI 1457831943
-
- Family Nurse Practitioner
- Warrenton, VA
- NPI 1053067256
-
- Nurse Practitioner
- Chicago, IL
- NPI 1033584909
-
- Gerontology Clinical Nurse Specialist
- West Lawn, PA
- NPI 1083113047
-
- Family Nurse Practitioner
- Myrtle Beach, SC
- NPI 1538815584
-
- Family Nurse Practitioner
- Myrtle Beach, SC
- NPI 1962872754
-
- Primary Care Nurse Practitioner
- Shawnee, OK
- NPI 1144765611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654214400000",
"number": "1902545270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531",
"telephone_number": "567-585-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12304 BALTIMORE AVE STE A",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051314",
"telephone_number": "240-264-1692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND HOSPICE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-03",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"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": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0432717",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ProMedica Hospice (Beltsville)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beltsville, MD
- Healthy Back Brand Holdings, LLC
- Heart of Gold Transport, LLC
- Heartland Home Care, Inc. (Heartland Home Health Care and Hospice)
- Heartland Hospice Services LLC (ProMedica Hospice (Beltsville))
- Heartland Hospice Services, Inc. (ProMedica Hospice (Beltsville))
- Kevin N Heller, MD
- Helping Others Foundation
- Emily Hemphill
- Jacqueline Ann Hendrickson, MSW
- Steven Herlich, R.PH.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.