Promedica Home Health (Ft. Wayne)

LBN: Heartland Home Care Llc
Promedica Home Health (Ft. Wayne) is an health care organization with primary practice located at 1315 Directors Row Suite 210, Ft Wayne IN 46808-1284. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Home Infusion. Agencies / Home Health is the primary health care specialty. Heartland Home Care Llc can be contacted via phone (216) 901-1464, or through Lazarus, Barry A via phone (419) 252-5541.

Contact Information

Primary practice address
1315 Directors Row Suite 210 Ft Wayne IN 46808-1284
Phone: (216) 901-1464
Fax: (216) 986-0081
Website:
Map and Directions
Authorized official contact:
Name: Lazarus, Barry A
Phone: (419) 252-5541

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 05-005366-1 Indiana
Agencies / Home Infusion 251F00000X

Profile Details

NPI number 1184676074
LBN Legal business name Heartland Home Care Llc
DBA Doing business as Promedica Home Health (Ft. Wayne)
Authorized official Lazarus, Barry A
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Jan 23rd, 2022 - about 3 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 1184676074 NPPES
Indiana MEDICAID 100265250

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