Active NPI
Heartland Home Health Care Inc.
- Prosthetic/Orthotic Supplier
- Peoria, IL
National Provider Identifier
1265485973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- HEARTLAND HOME HEALTH CARE INC.
- Practice address
- 112 NE Crescent Ave
Peoria, IL 61606-1901 - Phone
- (309) 671-7792
- NPI assigned
- May 17, 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
- Calvin Mackay
- Title
- Chief Financial Officer Senior VP
- Phone
- (309) 672-5931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
112 NE Crescent Ave
Peoria, IL 61606-1901
Mailing address
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 671-7792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7288079 | Other | IL | BLUE CROSS PROV NUMBER |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Morton, IL
- NPI 1639242506
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261440000000",
"number": "1265485973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616360001",
"telephone_number": "309-671-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 NE CRESCENT AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616061901",
"telephone_number": "309-671-7792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND HOME HEALTH CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2009-12-22",
"status": "A",
"authorized_official_last_name": "MACKAY",
"authorized_official_first_name": "CALVIN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER SENIOR VP",
"authorized_official_telephone_number": "309-672-5931"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROV NUMBER",
"identifier": "7288079",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.