Heartland Hospice Services, LLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

HEARTLAND HOSPICE SERVICES, LLC

Doing business as

ProMedica Hospice (Northfield)

Practice address

2111 New Rd Ste 100
Northfield, NJ 08225-1512

Phone

(609) 641-4675

NPI assigned

Apr 19, 2022

Organization subpart

Yes

Parent organization

HEARTLAND HOSPICE SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Martin David Allen

Title

Sole Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ProMedica Hospice (Northfield) Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Heartland Hospice Services LLC

  • Community Based Hospice Care Agency
  • Laurel Springs, NJ
  • NPI 1396798112

  O20200622002854

  Same enrollment
• Heartland Hospice Services LLC

  • Community Based Hospice Care Agency
  • Northfield, NJ
  • NPI 1811406598

  O20200622002854

  Same enrollment
• Heartland Hospice Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Laurel Springs, NJ
  • NPI 1760125595

  O20200622002854

  Same enrollment

Part of

Heartland Hospice-Tulsa

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

  • Community Based Hospice Care Agency
  • Laurel Springs, NJ
  • NPI 1992405674

  Sold to, 2023-11-01

  CMS change of ownership

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1952044786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10086",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436990086",
            "telephone_number": "567-585-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 NEW RD STE 100",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251512",
            "telephone_number": "609-641-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOSPICE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND HOSPICE SERVICES, LLC",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SOLE DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058572",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Northfield)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra R Hartman, RN MSN APN
• Judith Hauser
• Healing Pathways Therapy Center LLC
• Heartland Hospice Services LLC
• Heartland Hospice Services, LLC
• Heather M. Clark D.M.D PC
• Philip D Heckler, RPH
• Evan Albert Heffron, BCBA
• Heidi Schnorr, LLC
• Scott A Hernberg, D.O.

• Hospice and Palliative Medicine (Internal Medicine) Physician in Northfield, NJ
• Providers in Northfield, NJ by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.