Active NPI
Heartlinks
- Case Management Agency
- Grandview, WA
National Provider Identifier
1194410530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- HEARTLINKS
- Practice address
- 204 W 2ND St
Grandview, WA 98930-1361 - Phone
- (509) 837-1676
- Fax
- (509) 837-1990
- NPI assigned
- Apr 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelby Elaine Moore
- Title
- Executive Director
- Phone
- (509) 837-1676
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
204 W 2ND St
Grandview, WA 98930-1361
Mailing address
204 W 2ND St
Grandview, WA 98930-1361
Phone (509) 837-1676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130911000182 | WA | Part B Supplier - Clinic/Group Practice | 3678477395 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Grandview, WA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Heartlinks
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Grandview, WA
- NPI 1255418430
Locations
3920 Outlook Rd
Sunnyside, WA 98944
Phone (509) 837-1676
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Richland, WA
- NPI 1487099792
-
- Mental Health Counselor
- Grandview, WA
- NPI 1720899792
-
- Family Nurse Practitioner
- Yakima, WA
- NPI 1114391786
-
- Nurse Practitioner
- Maplewood, MN
- NPI 1285236687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682640000000",
"number": "1194410530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 W 2ND ST",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989301361",
"telephone_number": "509-837-1676",
"fax_number": "509-837-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W 2ND ST",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989301361",
"telephone_number": "509-837-1676",
"fax_number": "509-837-1990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLINKS",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "SHELBY",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "509-837-1676"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.