Organization Active NPI

Heartland Residential Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Johnston, IA
National Provider Identifier
1851158612
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HEARTLAND RESIDENTIAL CARE LLC
Practice address
6120 NW 106TH St Apt 18
Johnston, IA 50131-2489
Phone
(405) 476-0594
NPI assigned
Feb 28, 2024
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Jean Rutonesha
Title
Managing Director
Phone
(405) 476-0594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

6120 NW 106TH St Apt 18
Johnston, IA 50131-2489

Mailing address

6120 NW 106TH St Apt 18
Johnston, IA 50131-2489

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1851158612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 NW 106TH ST APT 18",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 NW 106TH ST APT 18",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312489",
            "telephone_number": "405-476-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "RUTONESHA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "405-476-0594"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.