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

Active since May 05, 2022
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: October 25, 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 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heartland Hospice Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Heartland Hospice Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Katherine Garity, FNP-C
Nurse Practitioner
NPI 1063039337
10701 MAIN ST
Fairfax, VA 22030
(703) 273-7705
✔ PECOS✔ Accepts Medicare1.1 mi
Reidun Dare, FNP-BC
Nurse Practitioner
NPI 1407370034
1469 28TH ST S APT 8
Arlington, VA 22206
(301) 302-2780
✔ PECOS✔ Accepts Medicare14 mi
Jessica Gilleo
Nurse Practitioner
NPI 1558944959
41816 FENWAY CIR
Ashburn, VA 20148
(703) 689-9000
✔ PECOS✔ Accepts Medicare15 mi
Tracy Anokye- Adanu
Nurse Practitioner
NPI 1053067256
493 BLACKWELL RD STE 319
Warrenton, VA 20186
(540) 935-6825
✔ PECOS26 mi
Nicole Padmore, MD
Internal Medicine
NPI 1932172756
5701 THURSTON AVE SUITE 103
Virginia Beach, VA 23455
(757) 340-3489
✔ PECOS✔ Accepts Medicare149 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Heartland Hospice Services, LLC enrolled in Medicare?

Yes. Heartland Hospice Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heartland Hospice Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Heartland Hospice Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.