HEARTLAND HOSPICE SERVICES LLC (NPI# 1659300564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659300564 |
| Entity Type | Organization |
| Organization Name | HEARTLAND HOSPICE SERVICES LLC |
| Other Organization Name | HEARTLAND HOME HEALTH CARE AND HOSPICE |
| Practice Address |
3900 Jermantown Rd Suite 460 Fairfax VA 22030-4900 |
| Mailing Address |
333 N Summit St Attn: Dean Shipman Toledo OH 43604-2615 |
| Practice Telephone | 7032738693 |
| Practice Fax Number | 7032738694 |
| Mailing Telephone | 4192547841 |
| Mailing Fax Number | 4192526448 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | MR. MARTIN D ALLEN (DIRECTOR) |
| Authorized Official Telephone | 4192525734 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | HSP-0768 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004910575 | 05 |
| Other Name | Type Code |
|---|---|
| Heartland Home Health Care and Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150062 | Heartland Hospice Services LLC | Hospice Care, Community Based | 5265 Commerce Blvd Ste A, Crown Point, IN 46307-5327 | 2020-06-29 |
| 1811406598 | Heartland Hospice Services LLC | Hospice Care, Community Based | 2111 New Rd Ste 100, Northfield, NJ 08225-1512 | 2017-09-25 |
| 1124201009 | Heartland Hospice Services LLC | Hospice Care, Community Based | 17577 Nassau Commons Blvd, Suite 103, Lewes, DE 19958-6288 | 2007-12-13 |
| 1457375628 | Heartland Hospice Services LLC | Hospice Care, Community Based | 613 Baltimore Dr, Suite 3, Wilkes Barre, PA 18702-7902 | 2006-07-27 |
| 1891727053 | Heartland Hospice Services LLC | Hospice Care, Community Based | 10800 Midlothian Turnpike, Suite 303, North Chesterfield, VA 23235-4700 | 2006-07-07 |
| 1841222478 | Heartland Hospice Services LLC | Hospice Care, Community Based | 460 Norristown Rd, Suite 101, Blue Bell, PA 19422-2323 | 2006-07-06 |
| 1235168113 | Heartland Hospice Services LLC | Hospice Care, Community Based | 41 Old Oyster Point Rd, Unit D, Newport News, VA 23602-7177 | 2006-07-02 |
| 1457380586 | Heartland Hospice Services LLC | Hospice Care, Community Based | 2411 N Oak St, # 108, Myrtle Beach, SC 29577-3164 | 2006-07-01 |
| 1619906757 | Heartland Hospice Services LLC | Hospice Care, Community Based | 421 Se Main St, Suite 100, Simpsonville, SC 29681-2697 | 2006-07-01 |
| 1689603854 | Heartland Hospice Services LLC | Hospice Care, Community Based | 318 E Choctaw Ave, Mcalester, OK 74501-5028 | 2006-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Heartland Hospice Services LLC | 333 N Summit St, Toledo, Ohio 43604 |
| Street Address |
3900 JERMANTOWN RD SUITE 460 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043704232 | Priscilla J Park | Occupational Therapist | 3900 Jermantown Rd, Fairfax, VA 22030-4900 | 2018-06-20 |
| 1174017412 | Sarah J Castrellon | Occupational Therapist | 3900 Jermantown Rd, Fairfax, VA 22030-4900 | 2018-06-20 |
| 1760840920 | Danielle Fletcher | Speech-Language Pathologist | 3900 Jermantown Rd, Suite 150, Fairfax, VA 22030-4900 | 2016-02-03 |
| 1063870236 | Vian Al-baiati | Occupational Therapy Assistant | 3900 Jermantown Rd, Suite 150, Fairfax, VA 22030-4900 | 2016-02-03 |
| 1487012787 | Ashleigh Balsamo Stevens | Occupational Therapist | 3900 Jermantown Rd, #150, Fairfax, VA 22030-4900 | 2016-02-02 |
| 1740682137 | Stephanie Dudley | Occupational Therapist | 3900 Jermantown Rd, Fairfax, VA 22030-4900 | 2014-09-17 |
| 1134558893 | Michelle Kathleen Briggs | Nurse Practitioner | 3900 Jermantown Rd, Suite 460, Fairfax, VA 22030-4900 | 2013-11-04 |
| 1629221973 | Amy Elizabeth Schmitt | Occupational Therapist | 3900 Jermantown Rd, Suite 250, Fairfax, VA 22030-4900 | 2008-10-30 |
| 1902085905 | Sherry Lynne Bowman | Social Worker | 3900 Jermantown Rd, Suite 201, Fairfax, VA 22030-4900 | 2007-10-26 |
| 1497953483 | Lea Aimee Gaffen | Social Worker | 3900 Jermantown Rd, Ste. 200, Fairfax, VA 22030-4900 | 2007-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205283926 | Phs Hospice Care | Hospice Care, Community Based | 8315 Lee Hwy, Suite 202, Fairfax, VA 22031-1561 | 2016-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112678 | A Step Above Health Services | Hospice Care, Community Based | 2450 Randolph Creek Rd, New Canton, VA 23123-2418 | 2020-10-23 |
| 1881293835 | Riverside Health Source LLC | Hospice Care, Community Based | 289 Hospital Rd, Tappahannock, VA 22560-5145 | 2020-10-21 |
| 1699373449 | Affinity Care of Virginia LLC | Hospice Care, Community Based | 714 Thimble Shoals Blvd Ste C, Newport News, VA 23606-2574 | 2020-10-14 |
| 1730786138 | Serenity First, LLC | Hospice Care, Community Based | 4915 Fitzhugh Ave, Richmond, VA 23230-3544 | 2020-10-08 |
| 1477169811 | Advance Care Hospice, LLC | Hospice Care, Community Based | 585 Southlake Blvd Ste A, North Chesterfield, VA 23236-3198 | 2020-09-21 |
| 1689285660 | Va State Transportation LLC | Hospice Care, Community Based | 11079 Quail Whistle Dr, Glen Allen, VA 23059-5200 | 2020-08-12 |
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1114550134 | Athc - Hospice, LLC | Hospice Care, Community Based | 1121 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2020-02-18 |
| 1548893951 | 24/7 We Care, LLC | Hospice Care, Community Based | 900 Granby St, Norfolk, VA 23510-2503 | 2020-02-14 |
| 1548806573 | All-4-one Home Healthcare Services, Inc. | Hospice Care, Community Based | 1629 Salem Rd Ste 101, Virginia Beach, VA 23456-5494 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.