HEARTLAND FAMILY SERVICE (NPI# 1972662047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972662047 |
| Entity Type | Organization |
| Organization Name | HEARTLAND FAMILY SERVICE |
| Other Organization Name | FAMILY SERVICE |
| Practice Address |
437 Jefferson Rd Fremont NE 68025 |
| Mailing Address |
2101 S 42nd St Omaha NE 68105-2909 |
| Practice Telephone | 4027215099 |
| Practice Fax Number | 4027215438 |
| Mailing Telephone | 4025533000 |
| Mailing Fax Number | 4025533133 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | JOHN JEANETTA (PRESIDENT CEO) |
| Authorized Official Telephone | 4025527402 |
| Authorized Official Credential | MBA, MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MEDICARE ID - TYPE UNSPEC | 086011 | 01 |
| Other Name | Type Code |
|---|---|
| Family Service | Former Legal Business Name - Organization |
| 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 |
| 1063647311 | Heartland Family Service | Counselor | 1722 Ave C, Council Bluffs, IA 51501-2440 | 2009-05-15 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HEARTLAND FAMILY SERVICE | 2101 S 42nd St, Omaha, NE 68105 |
| Street Address |
437 JEFFERSON RD |
| City | FREMONT |
| State | NE |
| Zip Code | 68025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154693596 | Michele Missel Counseling | Counselor | 437 Jefferson Rd, Fremont, NE 68025-6049 | 2012-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1609173194 | Fred Morrison, Mft | Clinic/Center | 39803 Paseo Padre Pkwy Ste C, Fremont, CA 94538-2992 | 2011-02-17 |
| 1801087366 | Portia Bell Hume Behavioral Health and Training Center | Clinic/Center | 39465 Paseo Padre Pkwy, Suite 2100, Fremont, CA 94538-5350 | 2007-08-08 |
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| 1235782194 | Midtown Health Center, Inc. | Clinic/Center | 1106 W Phillip Ave, Norfolk, NE 68701-4921 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
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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.