Heartland of Eaton Oh LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1403N Issued in OH

Legal business name

HEARTLAND OF EATON OH LLC

Doing business as

Heartland of Eaton

Practice address

515 S Maple St
Eaton, OH 45320-9413

Phone

(937) 456-5537

Fax

(937) 456-1614

NPI assigned

Jun 10, 2006

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Barry A Lazarus

Title

Vice President - Reimbursements

Phone

(419) 252-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland of Eaton Doing business as

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1417999178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: BARRY LAZARUS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5541",
            "fax_number": "419-252-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S MAPLE ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209413",
            "telephone_number": "937-456-5537",
            "fax_number": "937-456-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND OF EATON OH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1403N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2791386",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland of Eaton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Christine Harmon-Berry, LISW-S
• Harold a Ferguson Jr
• Deborah Kathleen Hater, LCDCIII
• Kira T Haubach, NP-C
• Andrew K Hayden, PT ASSISTANT
• Craig Anthony Hewitt, DDS
• Christina Hicks, LCDCII
• Melaina Suzanne Higbie, BSW
• Karl Hofmann, OD
• Ryan Holliday, PT

• Skilled Nursing Facility in Eaton, OH
• Providers in Eaton, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.