Organization Active NPI

Heartland Care Inc.

  • Skilled Nursing Facility
  • Portales, NM
National Provider Identifier
1477534261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5232 Issued in NM
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
I-1567MedicaidNM

Other names 1

  • Heartland Continuing Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.