HEARTLAND HOSPICE SERVICES, INC. (NPI# 1174569594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174569594 |
| Entity Type | Organization |
| Organization Name | HEARTLAND HOSPICE SERVICES, INC. |
| Other Organization Name | HEARTLAND HOSPICE SERVICES |
| Practice Address |
605 S Park Dr Suite 12 Broken Bow OK 74728-5331 |
| Mailing Address |
333 N Summit St Attn: Dean Shipman Toledo OH 43604-1531 |
| Practice Telephone | 5805847687 |
| Practice Fax Number | 5805847697 |
| Mailing Telephone | 4192547841 |
| Mailing Fax Number | 4192526448 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS) |
| Authorized Official Telephone | 4192525541 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 4114 | OK | Agencies |
| Other Name | Type Code |
|---|---|
| Heartland Hospice Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578592739 | Heartland Hospice Services, Inc. | Hospice Care, Community Based | 5800 E Skelly Dr, Suite 500, Tulsa, OK 74135-6471 | 2006-07-01 |
| 1881893493 | Heartland Hospice Services, Inc. | Hospice Care, Community Based | 12304 Baltimore Ave, Suite A, Beltsville, MD 20705-1314 | 2007-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | HEARTLAND HOSPICE SERVICES, INC. | 333 N Summit St, Toledo, OH 43604 |
| Indiana Business Entities | HEARTLAND HOSPICE SERVICES, INC. | C/o Hcr Manor Care, Inc., 333 N. Summit St., Toledo, OH 43604 |
| Street Address |
605 S PARK DR SUITE 12 |
| City | BROKEN BOW |
| State | OK |
| Zip Code | 74728-5331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831215219 | Heartland Hospice-broken Bow | Hospice Care, Community Based | 605 S Park Dr, Suite 12, Broken Bow, OK 74728-5331 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732926 | Natorrie D'atra Morris | Nurse Practitioner | Mccurtain Family Medical Clinic, 800 N Park Dr, Broken Bow, OK 74728 | 2019-07-17 |
| 1477925535 | Rebecca Stover | Nurse Practitioner | 813 Veterans Way, Broken Bow, OK 74728 | 2015-10-28 |
| 1023366614 | Tlc Family Clinic, LLC | Clinic/Center | 700 W. Jones, Tlc Family Clinic, LLC, Broken Bow, OK 74728 | 2012-08-29 |
| 1699925867 | Faith Lucille Phillips | Psychologist | 411 S. Park Drive, Broken Bow, OK 74728 | 2008-09-24 |
| 1265057251 | Heather Renee Payne | Counselor | 205 N. Main St, Broken Bow, OK 74728 | 2020-06-15 |
| 1396244109 | Erika Ann White | Counselor | 205 N Main St, Broken Bow, OK 74728 | 2018-02-07 |
| 1366954661 | Black Oak Clinic LLC | Clinic/Center | 110 W 1st St, Broken Bow, OK 74728 | 2017-10-26 |
| 1922467505 | Stover Family Clinic | Clinic/Center | 813 Veterans Way, Broken Bow, OK 74728 | 2016-02-11 |
| 1568820140 | Megan Elizabeth Black | Nurse Practitioner | 110 W 1st St, Broken Bow, OK 74728 | 2016-02-10 |
| 1578797221 | Kenneth G Ericksen | Chiropractor | 1605 S Park Dr, Broken Bow, OK 74728 | 2009-05-11 |
| Find all providers in zip 74728 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831215219 | Heartland Hospice-broken Bow | Hospice Care, Community Based | 605 S Park Dr, Suite 12, Broken Bow, OK 74728-5331 | 2007-03-21 |
| 1245305655 | Jennie M Melham Memorial Medical Center | Hospice Care, Community Based | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072070 | Advocate Hospice Care Inc. | Hospice Care, Community Based | 200 Ne 28th St Ste 102, Oklahoma City, OK 73105-2802 | 2020-10-27 |
| 1194330811 | Good Shepherd Hospice of Ardmore, LLC | Hospice Care, Community Based | 1505 N Commerce St Ste 204, Ardmore, OK 73401-1859 | 2020-09-10 |
| 1215574843 | 1st Choice Home Health Care & Hospice, Inc | Hospice Care, Community Based | 1211 N Shartel Ave Ste 905b, Oklahoma City, OK 73103-2400 | 2019-12-02 |
| 1386107274 | Comforting Hands Hospice of Southwest Oklahoma | Hospice Care, Community Based | 15 N 9th St Ste 103, Duncan, OK 73533-4657 | 2019-04-09 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1205313830 | Vialife Hospice LLC | Hospice Care, Community Based | 108 N Adair St Ste C, Pryor, OK 74361-2412 | 2018-07-26 |
| 1932692787 | Kindful Hospice Norman Oklahoma City, LLC | Hospice Care, Community Based | 623 N Porter Ave Ste 200, Norman, OK 73071-6000 | 2018-06-07 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1124531348 | Healthcare Innovations of Oklahoma, LLC | Hospice Care, Community Based | 4005 Nw Expressway Ste 605, Oklahoma City, OK 73116-8600 | 2017-11-09 |
| 1740715267 | Sunny Hospice LLC. | Hospice Care, Community Based | 110 N Chouteau Ave, Suite 2, Chouteau, OK 74337-3209 | 2017-04-21 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN BOW |
| Zip Code | 74728 |
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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.