Organization Active NPI

Heartland Farm Sanctuary, LLC

  • Recreation Therapist
  • Verona, WI
National Provider Identifier
1639727639
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Legal business name
HEARTLAND FARM SANCTUARY, LLC
Practice address
11713 Mid Town Rd
Verona, WI 53593-9011
Phone
(608) 571-8764
NPI assigned
Sep 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Margaret Bayerl, CTRS
Title
Program Director
Phone
(608) 571-8764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225800000X Primary

Addresses

Primary practice location

11713 Mid Town Rd
Verona, WI 53593-9011

Mailing address

11713 Mid Town Rd
Verona, WI 53593-9011
Phone (608) 571-8764

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1639727639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11713 MID TOWN RD",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939011",
            "telephone_number": "608-571-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11713 MID TOWN RD",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939011",
            "telephone_number": "608-571-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FARM SANCTUARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "BAYERL",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "608-571-8764",
        "authorized_official_credential": "CTRS"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.