Organization Active NPI

Heartland Medical Staffing LLC

  • In Home Supportive Care Agency
  • Knoxville, TN
National Provider Identifier
1083982144
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
L000000008100 Issued in TN
Legal business name
HEARTLAND MEDICAL STAFFING LLC
Practice address
4409 Central Avenue Pike Ste 101
Knoxville, TN 37912-4082
Phone
(865) 691-7098
Fax
(865) 531-3606
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Mrs. Jorgene Dale
Title
President
Phone
(865) 691-7098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X L000000008100 TN Primary

Addresses

Primary practice location

4409 Central Avenue Pike Ste 101
Knoxville, TN 37912-4082

Mailing address

4409 Central Avenue Pike Ste 101
Knoxville, TN 37912-4082
Phone (865) 691-7098

National Provider Directory

National Provider Directory

Locations

4409 Central Avenue Pike
Ste 101
Knoxville, TN 37912
Phone (865) 691-7098

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1083982144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 CENTRAL AVENUE PIKE STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124082",
            "telephone_number": "865-691-7098",
            "fax_number": "865-531-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 CENTRAL AVENUE PIKE STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124082",
            "telephone_number": "865-691-7098",
            "fax_number": "865-531-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MEDICAL STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "JORGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-691-7098",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000008100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.