Heartland-Riverview of East Peoria Il (SNF) LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HEARTLAND-RIVERVIEW OF EAST PEORIA IL (SNF) LLC

Practice address

500 Centennial Dr
East Peoria, IL 61611-4912

Phone

(309) 694-9865

Fax

(309) 699-2192

NPI assigned

Jun 1, 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 2

Addresses

Other names 1

• Heartland Health Care Center-Riverview Doing business as

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1407893977",
    "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": "500 CENTENNIAL DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616114912",
            "telephone_number": "309-694-9865",
            "fax_number": "309-699-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND-RIVERVIEW OF EAST PEORIA IL (SNF) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2017-06-05",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Health Care Center-Riverview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Ryan Harms, M.S., L.C.P.C.
• Lucy Harris
• Bailey Hatfill
• Hearing Solutions of Peoria, Il, L.L.C.
• Heartland-Riverview of East Peoria Il (SNF) LLC
• Highland Park CVS LLC
• Highpointe Health and Wellness
• Erin Hill, RDN, LDN
• Brittany Hoffmire
• Melissa Sue Howdyshell, RDH, PHDH

• Skilled Nursing Facility in East Peoria, IL
• Providers in East Peoria, 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 5, 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.