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HEARTLAND HOME HEALTH CARE INC. NPI 1265485973


NPI Information

NPI: 1265485973
Provider Name: HEARTLAND HOME HEALTH CARE INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
112 NE CRESCENT AVE
PEORIA, IL
ZIP 61606
Phone: (309) 671-7792
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HEARTLAND HOME HEALTH CARE INC. is a prosthetic orthotic supplier in Peoria, IL. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. HEARTLAND HOME HEALTH CARE INC. NPI is 1265485973. The provider is registered as an organization entity type.

The provider's business location address is:

112 NE CRESCENT AVE
PEORIA, IL
ZIP 61606-901
Phone: (309) 671-7792

The provider's authorized official is Calvin Mackay .
The authorized official title is Chief Financial Officer Senior Vp and has the following contact phone number (309) 672-5931.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 12/22/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17288079OTHERILLINOISBLUE CROSS PROV NUMBER
2=========006MEDICAIDILLINOIS
30246060004MEDICARE NSCILLINOIS

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: 4/28/2024

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