HEARTLAND HOSPICE SERVICES, LLC - NPI 1144965971 - Internal Medicine in Myrtle Beach, SC

Q: What is Heartland Hospice Services, LLC's NPI number?

The NPI number for Heartland Hospice Services, LLC is 1144965971. It was assigned to this organization in the NPPES registry on May 5, 2022. The provider is doing business as ProMedica Hospice (Myrtle Beach).

Q: What is Heartland Hospice Services, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

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About Heartland Hospice Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEARTLAND HOSPICE SERVICES, LLC (NPI 1144965971), doing business as Promedica Hospice (myrtle Beach), is a healthcare organization registered as a hospice and palliative medicine in Myrtle Beach, South Carolina and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Martin David Allen, Sole Director, as its authorized official.

NPPES Registry Identity

NPI1144965971

Entity TypeOrganization

Primary Taxonomy207RH0002X

Legal Business NameHEARTLAND HOSPICE SERVICES, LLC

Location Address2050 CORPORATE CENTRE DR STE 220Myrtle Beach, SC 29577-7428

Mailing AddressPo Box 10086Toledo, OH 43699-0086 · (567) 585-1191

Phone(843) 444-0813

Organization SubpartNo

Authorized OfficialMartin David AllenSole Director · (419) 252-5734

Enumeration DateMay 5, 2022

NPPES CertifiedApril 19, 2022

✔ NPI 1144965971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

2050 CORPORATE CENTRE DR STE 220, Myrtle Beach, SC 29577

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Other Names 1

Doing Business AsPromedica Hospice (myrtle Beach)

Other Identifiers 1

MedicaidHSP051SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1099844

Heartland Hospice Service, LLC · Myrtle Beach, SC

Active · expires May 21, 2027

CLIA Number42D1099844

Laboratory TypeHospice

Certificate Effective DateMay 22, 2025

Certificate Expiration DateMay 21, 2027

Laboratory DirectorSelece Beasley

Laboratory Phone(843) 248-2061

Laboratory LocationHeartland Hospice Service, LLC2050 Corporate Centre Drive Suite 220, Myrtle Beach, SC 29577

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MID-SOUTH HOME CARE SERVICES, LLC

Internal Medicine (Hospice and Palliative Medicine)