Organization Active NPI

Heartland Assited Living

  • Assisted Living Facility
  • Shawnee, KS
National Provider Identifier
1679605919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
N046056 Issued in KS
Legal business name
HEARTLAND ASSITED LIVING
Practice address
16207 Midland Dr
Shawnee, KS 66217-9499
Phone
(913) 248-6600
NPI assigned
Mar 12, 2007
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
Phyllis Hornbaker
Title
Owner,Director
Phone
(913) 248-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X N046056 KS Primary

Addresses

Primary practice location

16207 Midland Dr
Shawnee, KS 66217-9499

Mailing address

16207 Midland Dr
Shawnee, KS 66217-9499
Phone (913) 248-6600

National Provider Directory

National Provider Directory

Locations

16207 Midland Dr
Shawnee Mission, KS 66217
Phone (314) 503-5523

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679605919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16207 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179499",
            "telephone_number": "913-248-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16207 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179499",
            "telephone_number": "913-248-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ASSITED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORNBAKER",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER,DIRECTOR",
        "authorized_official_telephone_number": "913-248-6600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N046056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

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.