NPIMap

Organization Active NPI

Heartland Residential Care Facility

  • Assisted Living Facility
  • Saint Joseph, MO
National Provider Identifier
1174651269
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
031795 Issued in MO
Legal business name
HEARTLAND RESIDENTIAL CARE FACILITY
Practice address
117 S 15TH St
Saint Joseph, MO 64501-2904
Phone
(816) 676-1505
NPI assigned
Mar 1, 2007
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 Ashley Waitkoss
Title
Asst. Administrator
Phone
(816) 676-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 031795 MO Primary

Addresses

Primary practice location

117 S 15TH St
Saint Joseph, MO 64501-2904

Mailing address

117 S 15TH St
Saint Joseph, MO 64501-2904
Phone (816) 676-1505

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.

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": "1174651269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S 15TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012904",
            "telephone_number": "816-676-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S 15TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012904",
            "telephone_number": "816-676-1505"
        }
    ],
    "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": "ASHLEY",
        "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": "031795",
            "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.