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HEARTLAND HOSPICE SERVICES, LLC
NPI 1558007385
Internal Medicine - Hospice and Palliative Medicine in Fairfax, VA

Active since May 05, 2022CLIA 49D0993421 · Waiver
3900 JERMANTOWN RD STE 460, FAIRFAX, VA 22030(703) 273-8693 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heartland Hospice Services, Llc NPPES

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

HEARTLAND HOSPICE SERVICES, LLC (NPI 1558007385), doing business as Promedica Hospice (fairfax), is a healthcare organization registered as a hospice and palliative medicine in Fairfax, Virginia and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Martin David Allen, Sole Director, as its authorized official.

NPPES Registry Identity

NPI1558007385
Entity TypeOrganization
Primary Taxonomy207RH0002X
Legal Business NameHEARTLAND HOSPICE SERVICES, LLC
Location Address3900 JERMANTOWN RD STE 460Fairfax, VA 22030-4900
Mailing AddressPo Box 10086Toledo, OH 43699-0086 · (567) 585-1191
Phone(703) 273-8693
Organization SubpartNo
Authorized OfficialMartin David AllenSole Director · (419) 252-5734
Enumeration DateMay 5, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1558007385 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.
3900 JERMANTOWN RD STE 460, Fairfax, VA 22030
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Other Names 1

Doing Business AsPromedica Hospice (fairfax)

Other Identifiers 1

Medicaid1659300564VA

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 49D0993421

Curo Health Services, LLC Dba Heartland Hospice (fairfax) · Fairfax, VA
Active · expires Nov 13, 2027
CLIA Number49D0993421
Laboratory TypeHospice
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorSelece Beasley
Laboratory Phone(703) 273-8693
Laboratory LocationCuro Health Services, LLC Dba Heartland Hospice (fairfax)3975 Fair Ridge Drive, Suite 125S, Fairfax, VA 22030
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

CURO HEALTH SERVICES, LLC
Hospice Care, Community Based
3900 JERMANTOWN RD STE 460
FAIRFAX, VA 22030
Fairfax City (704) 664-2876
FERNANDO ANIBAL FLORES A-GNP
Nurse Practitioner (Adult Health)
3900 JERMANTOWN RD STE 460
FAIRFAX, VA 22030
Fairfax City (703) 273-8693
MARION URSULA BURKE PHD, LPC
Counselor (Professional)
3900 JERMANTOWN RD STE 460
FAIRFAX, VA 22030
Fairfax City (571) 264-8192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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

The NPI number for Heartland Hospice Services, LLC is 1558007385. It was assigned to this organization in the NPPES registry on May 5, 2022. The provider is doing business as ProMedica Hospice (Fairfax).

Where is Heartland Hospice Services, LLC located?

Heartland Hospice Services, LLC is located at 3900 Jermantown Rd Ste 460, Fairfax, VA 22030. The listed phone number is (703) 273-8693.

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.

Does Heartland Hospice Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0993421) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heartland Hospice Services, LLC was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.