Heartland Memorial Hospital, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

HEARTLAND MEMORIAL HOSPITAL, LLC

Practice address

701 Superior Ave
Munster, IN 46321-4037

Phone

(219) 922-4200

NPI assigned

Jul 20, 2005

Last updated

Aug 22, 2020By 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. Jeffrey Yessenow, M.D.

Title

Ceo

Phone

(219) 922-4200

Specialties & licenses 1

Addresses

Other names 1

• Illiana Surgery and Medical Center, LLC Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770582744. Details of each certification follow.

• CCN 150147 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 150147

Legal name

HEARTLAND MEMORIAL HOSPITAL LLC

Certification status

Terminated Voluntary: other reason for withdrawal, Apr 5, 2007

Provider type (POS)

Hospital – Short-term

Participating since

Aug 4, 2000

Last certification

Jun 28, 2005

Beds

68

Ownership / control type

Private (for profit)

Facility address

701 Superior Ave
Munster, IN 46321

Tax ID family

Heartland Memorial Hospital LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Heartland Memorial Hospital, LLC

  • Ambulatory Surgical Clinic/Center
  • Merrillville, IN
  • NPI 1023017423
  NPD tax ID
• Heartlandmemorial Hospital, LLC.

  • Family Medicine Physician
  • Munster, IN
  • NPI 1801956586
  NPD tax ID
• Illiana Surgery & Medical Center, LLC

  dba Illiana Rehabilitation Services Schererville

  • Physical Therapy Clinic/Center
  • Schererville, IN
  • NPI 1770582264
  NPD tax ID
• Illiana Surgery and Medical Center, LLC

  dba The Orthopedic Centers, LLC

  • Orthopaedic Surgery Physician
  • Portage, IN
  • NPI 1780684449
  NPD tax ID

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770582744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SUPERIOR AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214037",
            "telephone_number": "219-922-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SUPERIOR AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214037",
            "telephone_number": "219-922-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MEMORIAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YESSENOW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-922-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illiana Surgery and Medical Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Health for the Soul LLC
• Health Reach Physical Therapy P.C.
• Healthycare Homecare LLC
• Heart and Vascular Center, LLC
• Heart-Lung Health Centers
• Heartlandmemorial Hospital, LLC.
• Joslynn Marie Heath, LMHCA
• Matthew Edward Hebda, DPT
• Joseph D Hecht, MD
• William V. Hehemann, M.D.

• General Acute Care Hospital in Munster, IN
• Providers in Munster, IN by specialty
• General Acute Care Hospital in Indiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.