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NPI 1407888381 · live from the CMS NPI Registry

In Home Health LLC

Hospice Care, Community Based in Fond Du Lac, WI. National Provider Identifier 1407888381, active.

NPI record

NPI1407888381 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice locationN6650 Rolling Meadows Dr Ste 1, Fond Du Lac, WI 54937
Practice phone920-926-1144
Mailing addressPo Box 10086, Licensure-Support, Toledo, OH 43699
EnumeratedJuly 7, 2006
Last updatedJuly 21, 2022
Authorized officialMartin Allen, Director
Other namesHeartland Home Health Care And Hospice

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X2014 (WI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.