Heartland of Bellefontaine Oh LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1784N Issued in OH

Legal business name

HEARTLAND OF BELLEFONTAINE OH LLC

Doing business as

Heartland of Bellefontaine

Practice address

221 School St
Bellefontaine, OH 43311-1078

Phone

(937) 599-5123

Fax

(937) 599-1078

NPI assigned

Jun 12, 2006

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 1

Addresses

Other identifiers 1

Other names 1

• Heartland of Bellefontaine Doing business as

Locations

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1225070501",
    "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": "221 SCHOOL ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111078",
            "telephone_number": "937-599-5123",
            "fax_number": "937-599-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND OF BELLEFONTAINE OH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-05-23",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1784N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2791279",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland of Bellefontaine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Danielle Harr, PT, DPT
• Harry Davis, O.D. Inc
• Jacob Harshfield, DC
• Megan Amanda Hawk, CDCA, LMT, CPHT
• Margaret A Headings, P.T., D.P.T.
• Chelsea Marie Heath
• Lance Christopher Heath, D.C.
• Amanda Hecker, CCC-SLP
• Tiffany Marie Hemmert, APRN-CNP
• Sandra Henderson

• Skilled Nursing Facility in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.