Heartland of Oregon Oh LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1717N Issued in OH

Legal business name

HEARTLAND OF OREGON OH LLC

Practice address

3953 Navarre Ave
Oregon, OH 43616-3437

Phone

(419) 698-4521

Fax

(419) 693-8199

NPI assigned

Jun 12, 2006

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 Oregon Doing business as

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496102400000",
    "number": "1538101910",
    "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": "3953 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163437",
            "telephone_number": "419-698-4521",
            "fax_number": "419-693-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND OF OREGON OH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2017-05-30",
        "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": "OH",
            "license": "1717N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2791742",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland of Oregon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Elizabeth Hattendorf, PA-C
• Nathan S Haupricht, PA
• Health II Ohio, LLC
• Health Services Homecare Connection
• Heart on Ice
• Allen J Hefner Jr., RNFA
• David E Hegemier, R.PH
• Denzel Henderson
• Jennifer Hendrickson, PTA
• Kristin Hernandez, CNP

• Skilled Nursing Facility in Oregon, OH
• Providers in Oregon, 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 May 30, 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.