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HEARTLAND RESIDENTIAL CARE FACILITY NPI 1093843997


NPI Information

NPI: 1093843997
Provider Name: HEARTLAND RESIDENTIAL CARE FACILITY
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D2199604

Address:
1311 FRANCIS ST
SAINT JOSEPH, MO
ZIP 64501
Phone: (816) 233-5779
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HEARTLAND RESIDENTIAL CARE FACILITY is an assisted living facility in Saint Joseph, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. HEARTLAND RESIDENTIAL CARE FACILITY NPI is 1093843997. The provider is registered as an organization entity type.

The provider's business location address is:

1311 FRANCIS ST
SAINT JOSEPH, MO
ZIP 64501-318
Phone: (816) 233-5779

The provider's authorized official is Brooke A Waitkoss .
The authorized official title is Asst. Administrator and has the following contact phone number (816) 676-1505.

The CLIA number assigned to this NPI record is 26D2199604 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 2/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility033214MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.