Heartland Hospice Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

253512 Issued in MI

Legal business name

HEARTLAND HOSPICE SERVICES LLC

Practice address

3840 Packard St
Suite 260
Ann Arbor, MI 48108-2280

Phone

(734) 973-1145

Fax

(734) 973-1241

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. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ProMedica Hospice (Ann Arbor) Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Heartland Hospice Services LLC

  • Community Based Hospice Care Agency
  • Newark, DE
  • NPI 1770535858

  Member Of

  NPD member

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
  • Ann Arbor, MI
  • NPI 1174224612

  Sold to, 2023-11-01

  CMS change of ownership

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1962454629",
    "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": "3840 PACKARD ST",
            "address_2": "SUITE 260",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082280",
            "telephone_number": "734-973-1145",
            "fax_number": "734-973-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOSPICE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-05-19",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "253512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2139343",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Ann Arbor)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Ann Arbor)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jo Ann Heap, MSW
• Lisa Heard
• Jason Warren Hearn, MD
• Sandra L. Hearn, M.D.
• Heartland Home Care LLC
• Heartland Hospice Services, LLC
• Heartland of Ann Arbor Mi, LLC
• Heartleaf Counseling and Consultation Services
• Heather Herrick, LMSW, PLLC
• Heather Kangas MSW PLLC

• Community Based Hospice Care Agency in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Community Based Hospice Care Agency in Michigan

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