HEARTLAND ASSISTED LIVING (NPI# 1598990855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598990855 |
Entity Type | Organization |
Organization Name | HEARTLAND ASSISTED LIVING |
Practice Address |
13811 114th Ave N Dayton MN 55369 |
Practice Telephone | 6122985518 |
Practice Fax Number | 7634257671 |
Mailing Telephone | 6122985518 |
Mailing Fax Number | 7634257671 |
Enumeration Date | 2009-05-15 |
Last Update Date | 2009-05-15 |
Authorized Official Name | LARISA KHARCHENKO (OWNER) |
Authorized Official Telephone | 6122985518 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Heartland Assisted Living LLC | 1577 Walnut Dr, Brighton, CO 80601 |
Street Address |
13811 114TH AVE N |
City | DAYTON |
State | MN |
Zip Code | 55369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518191097 | Heartland Medical Supplies | Durable Medical Equipment & Medical Supplies | 13811 114th Ave N, Dayton, MN 55369 | 2009-05-12 |
1871728139 | American Eagle Transportation | Non-emergency Medical Transport (VAN) | 13811 114th Ave N, Dayton, MN 55369 | 2009-05-15 |
1124253497 | Heavenly Hills Adult Day Care | Day Training, Developmentally Disabled Services | 13811 114th Ave N, Dayton, MN 55369 | 2009-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
Find all providers in zip 55369 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
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. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235668625 | Red Beard LLC | Assisted Living Facility | 265 County Road 613, Dayton, TX 77535 | 2017-06-08 |
1114470572 | Brighter Days Assisted Living | Assisted Living Facility | 406 E Clayton St, Dayton, TX 77535-2320 | 2016-08-02 |
1780929810 | Dayton Tarkington Community Center, Inc. | Assisted Living Facility | 17019 Highway 321, Dayton, TX 77535-5816 | 2012-11-29 |
1366790529 | The Cottages of Clayton, Inc. | Assisted Living Facility | 8212 N Main St, Dayton, OH 45415-1641 | 2012-08-20 |
1992006985 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 3839 Indian Ripple Rd, Dayton, OH 45440-3468 | 2010-11-08 |
1366742520 | Pram/singing Woods Te, LLC | Assisted Living Facility | 140 E Woodbury Dr, Dayton, OH 45415-2841 | 2010-10-21 |
1891028726 | Ansa Consultants, Inc. | Assisted Living Facility | 401 Ridge Rd Ste 1, Dayton, NJ 08810-3300 | 2009-09-10 |
1598894164 | Hearth & Home Assisted Living | Assisted Living Facility | 55 Great Hill Drive, Dayton, OH 45414 | 2007-03-02 |
1528104049 | 10wp Inc | Assisted Living Facility | 10 Wilmington Ave, Dayton, OH 45420-1877 | 2007-01-30 |
1629062310 | The Suites At Walnut Creek | Assisted Living Facility | 2501 Keystone Club Dr, Dayton, OH 45439-4223 | 2005-09-08 |
Find all providers in DAYTON |
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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.