Organization Active NPI

Heartland Services

  • Developmentally Disabled Services Day Training Agency
  • Sevierville, TN
National Provider Identifier
1609938927
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
L 3(20)4M4-115-1143 Issued in TN
Legal business name
HEARTLAND SERVICES
Practice address
1101 Wagner Dr
Sevierville, TN 37862-3719
Phone
(865) 453-3254
Fax
(865) 453-3105
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Joyce Hughes
Title
Executive Director
Phone
(865) 453-3254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X L 3(20)4M4-115-1143 TN Primary

Addresses

Primary practice location

1101 Wagner Dr
Sevierville, TN 37862-3719

Mailing address

1101 Wagner Dr
Sevierville, TN 37862-3719
Phone (865) 453-3254

Other identifiers 1

IdentifierTypeStateIssuer
00348OtherTNAGENCY NUMBER

Other names 1

  • Douglas Cooperative, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

1101 Wagner Dr
Sevierville, TN 37862
Phone (423) 428-0218

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1609938927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WAGNER DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623719",
            "telephone_number": "865-453-3254",
            "fax_number": "865-453-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WAGNER DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623719",
            "telephone_number": "865-453-3254",
            "fax_number": "865-453-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-453-3254"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TN",
            "license": "L 3(20)4M4-115-1143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY NUMBER",
            "identifier": "00348",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Cooperative, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.