Organization Active NPI

Heartland South Inc

  • Adult Care Home Facility
  • Weber City, VA
National Provider Identifier
1104999820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HEARTLAND SOUTH INC
Practice address
120 US Highway 23N
Weber City, VA 24290
Phone
(276) 386-2555
Fax
(276) 386-2339
NPI assigned
Nov 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Linda Faye Horne
Title
President Administrator
Phone
(276) 336-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

120 US Highway 23N
Weber City, VA 24290

Mailing address

120 US Highway 23N
Weber City, VA 24290
Phone (276) 386-2555

Other names 1

  • Willowbrooke Adult Group Home Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104999820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 US HIGHWAY 23N",
            "city": "WEBER CITY",
            "state": "VA",
            "postal_code": "24290",
            "telephone_number": "276-386-2555",
            "fax_number": "276-386-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 US HIGHWAY 23N",
            "city": "WEBER CITY",
            "state": "VA",
            "postal_code": "24290",
            "telephone_number": "276-386-2555",
            "fax_number": "276-386-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND SOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PRESIDENT ADMINISTRATOR",
        "authorized_official_telephone_number": "276-336-2555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbrooke Adult Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weber City, VA

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.

Verify at the official NPI Registry.