Promedica Hospice (Warrenton)

LBN: Heartland Hospice Services Llc
Promedica Hospice (Warrenton) is an health care organization with primary practice located at 3975 Fair Ridge Dr Ste S125 , Fairfax VA 22033-2924. 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 (703) 273-8693, or through Allen, Martin D via phone (419) 252-5734.

Contact Information

Primary practice address
3975 Fair Ridge Dr Ste S125 Fairfax VA 22033-2924
Phone: (703) 273-8693
Fax: (703) 273-8694
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 HSP-0768 Virginia

Profile Details

NPI number 1659300564
LBN Legal business name Heartland Hospice Services Llc
DBA Doing business as Promedica Hospice (Warrenton)
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Oct 19th, 2023 - about 2 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 1659300564 NPPES
Virginia MEDICAID 004910575

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