Organization Active NPI

Heartland Recovery Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lowell, IN
National Provider Identifier
1417320508
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HEARTLAND RECOVERY CENTER, INC.
Practice address
2068 Lucas Pkwy
Lowell, IN 46356-2169
Phone
(219) 690-7025
NPI assigned
Nov 11, 2015
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Jaime Rogers
Title
Doo/Ceo
Phone
(219) 690-7025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2068 Lucas Pkwy
Lowell, IN 46356-2169

Mailing address

2068 Lucas Pkwy
Lowell, IN 46356-2169
Phone (219) 241-3249

Other practice location 1

101 Beverly Dr Ste A&b
Chesterton, IN 46304-3470
Phone (219) 690-7025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190104002131 IN Part B Supplier - Clinic/Group Practice 1355687831 Receives reassigned benefits from 4 practitioners
Practice locations: Lowell, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2114715Heartland Recovery Center2068 Lucas Pkwy, Lowell, IN 46356Certificate of waiverJun 20, 2028

National Provider Directory

National Provider Directory

Locations

101 Beverly Dr
Ste Ab
Chesterton, IN 46304
Phone (219) 690-7025

2068 Lucas Pkwy
Lowell, IN 46356
Phone (219) 690-7025

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1417320508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 LUCAS PKWY",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562169",
            "telephone_number": "219-241-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 LUCAS PKWY",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562169",
            "telephone_number": "219-690-7025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Beverly Dr Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Chesterton",
            "state": "IN",
            "postal_code": "463043470",
            "country_code": "US",
            "telephone_number": "219-690-7025",
            "fax_number": "219-552-7390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEARTLAND RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "DOO/CEO",
        "authorized_official_telephone_number": "219-690-7025"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.