Heartland of Henry Il, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0041814 Issued in IL

Legal business name

HEARTLAND OF HENRY IL, LLC

Doing business as

Heartland Health Care Center - Henry

Practice address

1650 Indiantown Rd
Henry, IL 61537-9227

Phone

(309) 364-3905

Fax

(309) 364-3119

NPI assigned

Jun 4, 2006

Last updated

Jun 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 2

Addresses

Other names 1

• Heartland Health Care Center - Henry Doing business as

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1194763508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 INDIANTOWN RD",
            "city": "HENRY",
            "state": "IL",
            "postal_code": "615379227",
            "telephone_number": "309-364-3905",
            "fax_number": "309-364-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND OF HENRY IL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0041814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Health Care Center - Henry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David a. Forbes, DC,PC
• Dr Richard P June DDS PC
• Thomas Victor Flores
• David A Forbes, DC
• Celeste Elaine Hansen, OTR
• Betty Louise Heinold, COTA
• Henry Community Ambulance Service
• Henry Rehab and Nursing LLC
• Henry Senachwine Cusd 5
• Highland Park CVS, L.L.C. (CVS Pharmacy #10656)

• Skilled Nursing Facility in Henry, IL
• Providers in Henry, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.