Heartwood Extended Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1308 Issued in WA

Legal business name

HEARTWOOD EXTENDED HEALTH CARE LLC

Practice address

1649 E 72ND St
Tacoma, WA 98404-5402

Phone

(253) 472-9027

Fax

(253) 475-8206

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy K. Rowe

Title

Administrator

Phone

(253) 472-9027

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801896436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 E 72ND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984045402",
            "telephone_number": "253-472-9027",
            "fax_number": "253-475-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 E 72ND ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984045402",
            "telephone_number": "253-472-9027",
            "fax_number": "253-475-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTWOOD EXTENDED HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-472-9027",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113080",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Heather Heath
• Kaelyn Heath, COTA/L
• Leanne Gaye Heath, LMP
• Nicholas S Heath, DPM

• Skilled Nursing Facility in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Skilled Nursing Facility in Washington

• 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 Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.