HEARTLAND FAMILY SERVICE (NPI# 1063647311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063647311 |
| Entity Type | Organization |
| Organization Name | HEARTLAND FAMILY SERVICE |
| Practice Address |
1722 Ave C Council Bluffs IA 51501-2440 |
| Mailing Address |
2101 S 42nd St Omaha NE 68105-2947 |
| Practice Telephone | 7124355380 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2010-08-31 |
| Authorized Official Name | JOHN JEANETTA (PRESIDENT / CEO) |
| Authorized Official Telephone | 4025527402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295209146 | Heartland Family Service | Counselor | 1415 Avenue J, Council Bluffs, IA 51501-1168 | 2019-01-14 |
| 1447742036 | Heartland Family Service | Counselor | 622 S 4th St, Council Bluffs, IA 51503-9005 | 2018-05-31 |
| 1669904421 | Heartland Family Service | Counselor | 208 S 25th St, Council Bluffs, IA 51501-3617 | 2017-03-31 |
| 1639562069 | Heartland Family Service | Counselor | 705 N 16th St, Council Bluffs, IA 51501-0105 | 2015-03-10 |
| 1871903898 | Heartland Family Service | Counselor | 1875 S 75th St Apt 107, Omaha, NE 68124-1736 | 2014-04-29 |
| 1720238371 | Heartland Family Service | Counselor | 1503 Avenue J, Council Bluffs, IA 51501-1170 | 2008-09-19 |
| 1710136841 | Heartland Family Service | Counselor | 1515 Avenue J, Council Bluffs, IA 51501-1170 | 2008-09-12 |
| 1053588582 | Heartland Family Service | Counselor | 4318 Fort St, Omaha, NE 68111-1849 | 2008-05-14 |
| 1750559332 | Heartland Family Service | Counselor | 4847 Sahler St, Omaha, NE 68104-5203 | 2008-02-15 |
| 1477612521 | Heartland Family Service | Clinic/Center | 2912 9th Ave, Council Bluffs, IA 51501-5880 | 2006-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HEARTLAND FAMILY SERVICE | 2101 S 42nd St, Omaha, NE 68105 |
| Street Address |
1722 AVE C |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720238371 | Heartland Family Service | Counselor | 1503 Avenue J, Council Bluffs, IA 51501-1170 | 2008-09-19 |
| 1689698995 | Dale Clifford Greedy | Counselor | 100 E Broadway Ste 200, Council Bluffs, IA 51503-4409 | 2006-07-27 |
| 1336131564 | Reva Dawn Evans | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2005-08-15 |
| 1669464897 | Carol Ann Logan-brummer | Counselor | 719 Mill Street, Council Bluffs, IA 51502-3008 | 2005-08-15 |
| 1851863716 | Mae Sondra Miller | Counselor | 300 W Broadway, Council Bluffs, IA 51503-9019 | 2018-12-17 |
| 1144753724 | Amanda Vigen | Counselor | 515 E Broadway, Council Bluffs, IA 51503 | 2017-04-10 |
| 1417496969 | Daltynn Haskins | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2017-02-16 |
| 1871044511 | Lindsay Henderson | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2016-10-18 |
| 1073913083 | The Inroads Foundation | Counselor | 933 E Pierce St, Council Bluffs, IA 51503 | 2014-08-27 |
| 1013287259 | Trisha Anderson | Counselor | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2012-01-05 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
Please comment or provide details below to improve the information on HEARTLAND FAMILY SERVICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.