Heartland Senior Living LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HEARTLAND SENIOR LIVING LLC

Doing business as

Heartland Senior Living LLC

Practice address

101 Trowbridge Rd
Neoga, IL 62447-1121

Phone

(217) 895-2665

NPI assigned

Sep 13, 2019

Last updated

Dec 31, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sarah Dujua

Title

Director of Ar

Phone

(630) 217-1014

Specialties & licenses 1

Addresses

Other names 1

• Heartland Senior Living LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003466806. Details of each certification follow.

• CCN 146030 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 146030

Legal name

HEARTLAND SENIOR LIVING LLC

Doing business as

HEARTLAND SENIOR LIVING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Aug 1, 2002

Last certification

Jun 12, 2024

Beds

71

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Oct 1, 2019 in IL

Enrollment address

101 Trowbridge Rd
Neoga, IL 62447-1121

Nursing home name

HEARTLAND SENIOR LIVING

Listed as

Heartland Senior LivingCCN 146030 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Aug 1, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7167.0 residents per day on average

Penalties (3 years)

5Fines totaling $152,711

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Fair Havens Senior Living LLC

  • Skilled Nursing Facility
  • Decatur, IL
  • NPI 1720638521

  Atru LLC, Bensenville Holdings LLC, LHCH LLC, Senior Living Holdings LLC

  CMS ownership
• Shawnee Senior Living LLC

  • Skilled Nursing Facility
  • Herrin, IL
  • NPI 1467002261

  Atru LLC, Bensenville Holdings LLC, LHCH LLC, Senior Living Holdings LLC

  CMS ownership
• Washington Senior Living LLC

  • Skilled Nursing Facility
  • Washington, IL
  • NPI 1477103273

  Atru LLC, Bensenville Holdings LLC, LHCH LLC, Senior Living Holdings LLC

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gregory Deters, M.D.

  • Family Medicine Physician
  • Mattoon, IL
  • NPI 1497861702

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1003466806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TROWBRIDGE RD",
            "city": "NEOGA",
            "state": "IL",
            "postal_code": "624471121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TROWBRIDGE RD",
            "city": "NEOGA",
            "state": "IL",
            "postal_code": "624471121",
            "telephone_number": "217-895-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "DUJUA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "630-217-1014"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Senior Living LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartland Senior Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Marie Fraser, CCC SLP L
• Andrea Fritcher
• Ellise Ann Haskett, MS, LCPC
• Heartland Christian Village, LLC
• Heartland Christian Village, LLC
• Tonya Hill
• Amy Jo Hoesli, MS CCC-SLP
• Judith E Johnson
• KDS Enterprises
• Linda Sue Kingery, LCSW

• Skilled Nursing Facility in Neoga, IL
• Providers in Neoga, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.