Promedica Hospice (Traverse City)

LBN: Heartland Hospice Services Llc
Promedica Hospice (Traverse City) is an health care organization with primary practice located at 695 Kenmoor Ave Se Ste B , Grand Rapids MI 49546-2375. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Agencies / Hospice Care, Community Based. Agencies / Hospice Care, Community Based is the primary health care specialty. Heartland Hospice Services Llc can be contacted via phone (616) 956-0636, or through Allen, Martin D via phone (419) 252-5734.

Contact Information

Primary practice address
695 Kenmoor Ave Se Ste B Grand Rapids MI 49546-2375
Phone: (616) 956-0636
Fax: (616) 956-7617
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin D
Phone: (419) 252-5734

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X
Agencies / Hospice Care, Community Based 251G00000X 413526 Michigan

Profile Details

NPI number 1699728980
LBN Legal business name Heartland Hospice Services Llc
DBA Doing business as Promedica Hospice (Traverse City)
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Apr 15th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699728980 NPPES
Michigan MEDICAID 1413573

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