Heartland of Ann Arbor Mi, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

814011 Issued in MI

Legal business name

HEARTLAND OF ANN ARBOR MI, LLC

Doing business as

ProMedica Skilled Nursing and Rehabilitation (Ann Arbor)

Practice address

4701 E Huron River Dr
Ann Arbor, MI 48105-9335

Phone

(734) 975-2600

Fax

(734) 677-5857

NPI assigned

Jun 2, 2006

Last updated

Apr 21, 2023By 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. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other names 1

• ProMedica Skilled Nursing and Rehabilitation (Ann Arbor) Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1851339857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 E HURON RIVER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059335",
            "telephone_number": "734-975-2600",
            "fax_number": "734-677-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND OF ANN ARBOR MI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "814011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N St 6th #900a",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ProMedica Skilled Nursing and Rehabilitation (Ann Arbor)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Skilled Nursing and Rehabilitation (Ann Arbor)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Warren Hearn, MD
• Sandra L. Hearn, M.D.
• Heartland Home Care LLC (ProMedica Home Health (Ann Arbor))
• Heartland Hospice Services LLC (ProMedica Hospice (Ann Arbor))
• Heartland Hospice Services, LLC (ProMedica Hospice (Ann Arbor))
• Heartleaf Counseling and Consultation Services
• Heartwood Grove Counseling & Wellness LLC
• Heather Herrick, LMSW, PLLC
• Heather Kangas MSW PLLC
• Heather M. Mackenzie

• Skilled Nursing Facility in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.