Organization Active NPI

Heartland Regeneration Group LLC

Doing business as Gentleway Advanced Mobile Wound Care

  • Nurse Practitioner
  • Lyndhurst, OH
National Provider Identifier
1801755152
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HEARTLAND REGENERATION GROUP LLC
Doing business as
Gentleway Advanced Mobile Wound Care
Practice address
5010 Mayfield Rd Ste 212
Lyndhurst, OH 44124-2692
Phone
(216) 224-6402
NPI assigned
Jan 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Jordan Tisdale
Title
Partner
Phone
(216) 224-6402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

5010 Mayfield Rd Ste 212
Lyndhurst, OH 44124-2692

Mailing address

5010 Mayfield Rd Ste 212
Lyndhurst, OH 44124-2692

Other names 1

  • Gentleway Advanced Mobile Wound Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1801755152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 MAYFIELD RD STE 212",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 MAYFIELD RD STE 212",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242692",
            "telephone_number": "216-224-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND REGENERATION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "216-224-6402"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentleway Advanced Mobile Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.