Heartland Supported Living Inc.

LBN: Heartland Supported Living Inc.
Heartland Supported Living Inc. is an health care organization with primary practice located at 205 N New Madrid St , Sikeston MO 63801-4142. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Heartland Supported Living Inc. can be contacted via phone (573) 475-4108, or through Mccormick, Ron via phone (573) 475-4108.

Contact Information

Primary practice address
205 N New Madrid St Sikeston MO 63801-4142
Fax: (573) 475-4109
Website:
Authorized official contact:
Name: Mccormick, Ron

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X Missouri

Profile Details

NPI number 1932499415
LBN Legal business name Heartland Supported Living Inc.
DBA Doing business as Heartland Supported Living Inc.
Authorized official Mccormick, Ron
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2011
Last updated Jul 9th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932499415 NPPES
Missouri MEDICAID 320900000X

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