Heartland Care Assisted Living

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

742338 Issued in AK

Legal business name

HEARTLAND CARE ASSISTED LIVING

Practice address

704 Waves Rd
Fairbanks, AK 99709-3409

Phone

(907) 374-7738

Fax

(907) 374-7738

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Laurie Kim Chesser-Witmer

Title

Owner

Phone

(907) 374-7738

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083820153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 KODIAK ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094835",
            "telephone_number": "907-374-7738",
            "fax_number": "907-374-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WAVES RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093409",
            "telephone_number": "907-374-7738",
            "fax_number": "907-374-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHESSER-WITMER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-374-7738"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AK",
            "license": "742338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Health Service Clinic/Center in Alaska

• 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.

Verify at the official NPI Registry.