Active NPI
Heartland Homes of Duluth LLC
- Mental Illness Community Based Residential Treatment Facility
- Duluth, MN
National Provider Identifier
1013085729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 10446821AFC
- Legal business name
- HEARTLAND HOMES OF DULUTH LLC
- Practice address
- 4712 Peabody St
Duluth, MN 55804-1520 - Phone
- (218) 525-3471
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Lee Klaas
- Title
- Owner Operator
- Phone
- (218) 391-9966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 10446821AFC | MN | Primary |
Addresses
Primary practice location
4712 Peabody St
Duluth, MN 55804-1520
Mailing address
31 England Ave
Duluth, MN 55808-1153
Phone (218) 391-9966
Other names 1
- Heartland Homes of Duluth
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013085729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 ENGLAND AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558081153",
"telephone_number": "218-391-9966",
"fax_number": "218-628-1684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 PEABODY ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558041520",
"telephone_number": "218-525-3471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND HOMES OF DULUTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KLAAS",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER OPERATOR",
"authorized_official_telephone_number": "218-391-9966",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "MN",
"license": "10446821AFC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland Homes of Duluth",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.