Active NPI
Heartlinks
- Community Based Hospice Care Agency
- Grandview, WA
National Provider Identifier
1255418430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEARTLINKS
- Practice address
- 204 West 2ND Street
Grandview, WA 98930 - Phone
- (509) 837-1676
- Fax
- (509) 837-1990
- NPI assigned
- Nov 1, 2006
- 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
- Director
- Phone
- (509) 837-1676
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | IS-369 | WA | |
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
204 West 2ND Street
Grandview, WA 98930
Mailing address
204 West 2ND Street
Grandview, WA 98930
Phone (509) 837-1676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8026536 | Medicaid | WA |
Other names 2
- Heartlinks
- Lower Valley Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
Hospice certification: CCN 501519
- Legal name
- HEARTLINKS
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 9, 1988
- Last certification
- Jul 22, 2022
- Ownership / control type
- Other
- Organization structure
- Corporation
- Incorporated
- Apr 24, 1978 in WA
- Enrollment address
- 204 W 2ND St
Grandview, WA 98930-1361
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Hospice
Medicare Care Compare- Listed as
- Heartlinks
- Ownership
- Non-Profit
- Certified
- Aug 9, 1988
- Medicare certification status
- Active
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.
-
- Case Management Agency
- Grandview, WA
- NPI 1194410530
-
- Adult Care Home Facility
- Sunnyside, WA
- NPI 1285456244
Locations
204 W 2nd St
Grandview, WA 98930
Phone (509) 837-1676
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Shelby E Moore | W-2 Managing Employee | Apr 1, 2019 | 50% |
| Operational/Managerial Control | Apr 1, 2019 | 100% | |
| Julian Pierce | Contracted Managing Employee | Apr 29, 2024 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tarpon Springs, FL
- NPI 1700035268
Contracted Managing Employee
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
-
- Family Nurse Practitioner
- Yakima, WA
- NPI 1114391786
-
- Mental Health Counselor
- Grandview, WA
- NPI 1720899792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663545600000",
"number": "1255418430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 WEST 2ND STREET",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "98930",
"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 WEST 2ND STREET",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "98930",
"telephone_number": "509-837-1676",
"fax_number": "509-837-1990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLINKS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "SHELBY",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "509-837-1676"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "WA",
"license": "IS-369",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8026536",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartlinks",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lower Valley Hospice",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.