Active NPI
Heartland Care Inc.
- Skilled Nursing Facility
- Portales, NM
National Provider Identifier
1477534261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5232
- Legal business name
- HEARTLAND CARE INC.
- Practice address
- 1604 W 18TH St
Portales, NM 88130-7097 - Phone
- (505) 359-4719
- Fax
- (505) 359-4722
- NPI assigned
- Nov 8, 2005
- 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
- Mr. Robert Siebel
- Title
- Owner President
- Phone
- (303) 980-0611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5232 | NM | Primary |
Addresses
Primary practice location
1604 W 18TH St
Portales, NM 88130-7097
Mailing address
13185 W Green Mountain Dr
Lakewood, CO 80228-3512
Phone (303) 980-0611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I-1567 | Medicaid | NM |
Other names 1
- Heartland Continuing Care Center
National Provider Directory
National Provider DirectoryLocations
13185 W Green Mountain Dr
Lakewood, CO 80228
1700 S Avenue O
Portales, NM 88130
Phone (575) 359-4719
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Skilled Nursing Facility
- Hobbs, NM
- NPI 1740514454
-
- Skilled Nursing Facility
- Artesia, NM
- NPI 1770817447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477534261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13185 W GREEN MOUNTAIN DR",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802283512",
"telephone_number": "303-980-0611",
"fax_number": "303-986-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 W 18TH ST",
"city": "PORTALES",
"state": "NM",
"postal_code": "881307097",
"telephone_number": "505-359-4719",
"fax_number": "505-359-4722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIEBEL",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "303-980-0611",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NM",
"license": "5232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "I-1567",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland Continuing Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.