Organization Active NPI

Heartland Recovery

  • Substance Abuse Rehabilitation Facility
  • Tulsa, OK
National Provider Identifier
1225854490
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HEARTLAND RECOVERY
Practice address
4835 S Sheridan Rd Ste 611
Tulsa, OK 74145-5740
Phone
(310) 674-4444
NPI assigned
Dec 3, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Michael Jabourian
Title
Ceo
Phone
(310) 674-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

4835 S Sheridan Rd Ste 611
Tulsa, OK 74145-5740

Mailing address

4835 S Sheridan Rd Ste 611
Tulsa, OK 74145-5740

National Provider Directory

National Provider Directory

Locations

4835 S Sheridan Rd
Ste 611
Tulsa, OK 74145
Phone (310) 674-4444

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1225854490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 S SHERIDAN RD STE 611",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 S SHERIDAN RD STE 611",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455740",
            "telephone_number": "310-674-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "JABOURIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-674-4444"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.