Heartland of Brooksville FL LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1213096 Issued in FL

Legal business name

HEARTLAND OF BROOKSVILLE FL LLC

Doing business as

Heartland of Brooksville

Practice address

575 Lamar Ave
Brooksville, FL 34601-3228

Phone

(352) 799-2226

Fax

(352) 799-3368

NPI assigned

May 28, 2006

Last updated

Jun 12, 2017By 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. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland of Brooksville Doing business as

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1497702054",
    "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": "575 LAMAR AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013228",
            "telephone_number": "352-799-2226",
            "fax_number": "352-799-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND OF BROOKSVILLE FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2017-06-12",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1213096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032530900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland of Brooksville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Lynn Heald, COTA
• Healing Hands Nursing Home Services LLC
• Healix Advanced Wound Care, PLLC
• Healthvine Medical Group Inc
• Jowell Monroe Hearn IV, RN RNFA
• Karen Heath, LCSW
• Lydia Hedges, MA CCC-SLP
• Thomas Hedick
• Luz Mary Hedrick, PTA
• Heinecke Family Dentistry

• Skilled Nursing Facility in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.