Promedica Hospice (Rockford)
LBN: Heartland Hospice Services Llc
Promedica Hospice (Rockford) is an health care organization with primary practice located at 6000 E State St Ste 1 , Rockford IL 61108-2521. 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 (815) 397-3691, or through Allen, Martin D via phone (419) 252-5734.
Contact Information
Primary practice address
6000 E State St Ste 1
Rockford IL 61108-2521
Phone: (815) 397-3691
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | ||
| Agencies / Hospice Care, Community Based | 251G00000X | 2002350 | Illinois |
Profile Details
| NPI number | 1578516290 |
|---|---|
| LBN Legal business name | Heartland Hospice Services Llc |
| DBA Doing business as | Promedica Hospice (Rockford) |
| Authorized official | Allen, Martin D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Apr 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578516290 | NPPES |
| Wisconsin | MEDICAID | 100002511 |
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