NPIMap

Organization Active NPI

Heartland Residential Care Facility

  • Assisted Living Facility
  • Saint Joseph, MO
National Provider Identifier
1093843997
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
033214 Issued in MO
Legal business name
HEARTLAND RESIDENTIAL CARE FACILITY
Practice address
1311 Francis St
Saint Joseph, MO 64501-2318
Phone
(816) 233-5779
NPI assigned
Mar 1, 2007
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Brooke A Waitkoss
Title
Asst. Administrator
Phone
(816) 676-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 033214 MO Primary

Addresses

Primary practice location

1311 Francis St
Saint Joseph, MO 64501-2318

Mailing address

1311 Francis St
Saint Joseph, MO 64501-2318
Phone (816) 233-5779

National Provider Directory

National Provider Directory
Tax ID family
Heartland Residential Care Facility Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1311 Francis St
Saint Joseph, MO 64501
Phone (816) 233-5779

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1093843997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 FRANCIS ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012318",
            "telephone_number": "816-233-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 FRANCIS ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012318",
            "telephone_number": "816-233-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "WAITKOSS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASST. ADMINISTRATOR",
        "authorized_official_telephone_number": "816-676-1505"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "033214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.