Organization Active NPI

Heartland Home Care Inc

  • Home Health Agency
  • Oskaloosa, IA
National Provider Identifier
1003913229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEARTLAND HOME CARE INC
Practice address
212 North Market Street
Oskaloosa, IA 52577
Phone
(641) 672-2944
Fax
(641) 672-2950
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Samuel G Krier
Title
President
Phone
(641) 672-2944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

212 North Market Street
Oskaloosa, IA 52577

Mailing address

212 North Market Street
Oskaloosa, IA 52577
Phone (641) 672-2944

Other identifiers 2

IdentifierTypeStateIssuer
67247OtherIAWELLMARK
0672477MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090116000196 IA Part A Provider - Home Health Agency 4284797218 Practice locations: Oskaloosa, IA

Home health agency certification: CCN 167247

Legal name
HEARTLAND HOME CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 1995
Last certification
May 12, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 30, 1995 in IA
Enrollment address
308 A Ave E
Oskaloosa, IA 52577-2818

Care Compare: Home health agency

Medicare Care Compare
Listed as
Heartland Home CareCCN 167247
Ownership
Proprietary
Certified
Oct 17, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0907401Heartland Home Care308 A Ave East, Oskaloosa, IA 52577Certificate of waiverOct 4, 2027

National Provider Directory

National Provider Directory

Locations

2730 Naples Ave SW
Ste 102
Iowa City, IA 52240
Phone (319) 339-8600

308 A Ave E
Oskaloosa, IA 52577
Phone (641) 672-2944

212 N Market St
Oskaloosa, IA 52577
Phone (641) 672-2944

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Samuel G Krier Individual 5% Or Greater Direct Ownership Interest Oct 17, 1995 100%
Corporate OfficerPresident/Ceo Oct 17, 1995
Corporate Director Oct 17, 1995
W-2 Managing EmployeeAd; Oct 17, 1995

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003913229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NORTH MARKET STREET",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "52577",
            "telephone_number": "641-672-2944",
            "fax_number": "641-672-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NORTH MARKET STREET",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "52577",
            "telephone_number": "641-672-2944",
            "fax_number": "641-672-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-672-2944"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "67247",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672477",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

Verify at the official NPI Registry.