HEARTLAND RECOVERY CENTER INC. NPI 1417320508

NPI Information

NPI: 1417320508
Provider Name: HEARTLAND RECOVERY CENTER, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 15D2114715

Address:
2068 LUCAS PKWY
LOWELL, IN
ZIP 46356
Phone: (219) 690-7025
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HEARTLAND RECOVERY CENTER, INC. is a rehabilitation and substance use disorder clinic center in Lowell, IN. HEARTLAND RECOVERY CENTER, INC. NPI is 1417320508. The provider is registered as an organization entity type.

The provider's business location address is:

2068 LUCAS PKWY
LOWELL, IN
ZIP 46356-169
Phone: (219) 690-7025

The provider's authorized official is Jaime Rogers .
The authorized official title is Doo/ceo and has the following contact phone number (219) 690-7025.

The CLIA number assigned to this NPI record is 15D2114715 - other - addiction svcs with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2015 and was last updated on 2/20/2023.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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

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