HEARTLAND SOUTH INC (NPI# 1104999820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104999820 |
| Entity Type | Organization |
| Organization Name | HEARTLAND SOUTH INC |
| Other Organization Name | WILLOWBROOKE ADULT GROUP HOME |
| Practice Address |
120 Us Highway 23n Weber City VA 24290 |
| Practice Telephone | 2763862555 |
| Practice Fax Number | 2763862339 |
| Mailing Telephone | 2763862555 |
| Mailing Fax Number | 2763862339 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LINDA FAYE HORNE (PRESIDENT ADMINISTRATOR) |
| Authorized Official Telephone | 2763362555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Willowbrooke Adult Group Home | Other Name - Individual/Organization |
| Street Address |
120 US HIGHWAY 23N |
| City | WEBER CITY |
| State | VA |
| Zip Code | 24290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831654250 | Nikki Fields | Occupational Therapy Assistant | 337 Clonce St, Weber City, VA 24290 | 2019-02-11 |
| 1386055598 | Family Preservation Services, Inc. | Community/Behavioral Health | 155 Elm Street, Weber City, VA 24290 | 2014-05-12 |
| 1649413386 | Leigh Anne Young | Internal Medicine | 280 Frank B Smith Drive, Weber City, VA 24290 | 2009-04-10 |
| 1528187135 | Mountain Connectioins, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 114 Laurel Street, Weber City, VA 24290 | 2007-03-28 |
| 1194881623 | Frontier Health | Case Management | 1006 Us Highway 23n, Weber City, VA 24290 | 2006-12-29 |
| 1538235296 | Scott County Drug | Durable Medical Equipment & Medical Supplies | 2834 Us Hwy 23 N, Weber City, VA 24290 | 2006-11-27 |
| 1861598211 | Marc Bradley | Chiropractor | 111 Elm Street, Weber City, VA 24290 | 2006-09-15 |
| 1508881517 | Beth Cloyd Baker | Speech-Language Pathologist | 322 Jennings St, Weber City, VA 24290 | 2006-07-12 |
| 1013909423 | Harland D Simpson | Anesthesiology | 280 Frank B. Smith Drive, Weber City, VA 24290 | 2005-08-22 |
| 1194238071 | Laura Jessica Templeton | Nurse Practitioner | 280 Frank B Smith Drive, Weber City, VA 24290 | 2017-11-14 |
| Find all providers in zip 24290 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627070 | Home & Heart LLC | Custodial Care Facility | 317 Bullock St, Suffolk, VA 23434-3109 | 2020-10-21 |
| 1477160778 | Able Arms | Custodial Care Facility | 312 Loudon St, Lynchburg, VA 24503-2832 | 2020-09-30 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1568076719 | Care First Resident Services, LLC | Custodial Care Facility | 8813 Cather Ave, Manassas, VA 20110-6105 | 2020-09-04 |
| 1174157861 | Andrea's Caring Corner, LLC | Custodial Care Facility | 703 Argyle St, Portsmouth, VA 23704-6611 | 2020-03-03 |
| 1184262602 | Hagir Hassan Suliman Eldmiyati | Custodial Care Facility | 1916 N Parham Rd, Richmond, VA 23229-4023 | 2019-12-16 |
| 1073160578 | All People Home LLC | Custodial Care Facility | 8213 Calm Pond Ct, Manassas Park, VA 20111-2343 | 2019-08-20 |
| 1033693395 | Daniels Residential Living | Custodial Care Facility | 315 W Constance Rd # 252, Suffolk, VA 23434-4968 | 2018-09-21 |
| 1063964831 | Caring Hands Healthcare Inc | Custodial Care Facility | 6223 Greeley Blvd, Springfield, VA 22152-1941 | 2016-10-27 |
| 1376092502 | Anab Jibril | Custodial Care Facility | 11249 Kessler Pl, Manassas, VA 20109-7778 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
| City | WEBER CITY |
| Zip Code | 24290 |
Please comment or provide details below to improve the information on HEARTLAND SOUTH INC.
| 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.