Heartland-Willow Lane of Butler Mo LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032782 Issued in MO

Legal business name

HEARTLAND-WILLOW LANE OF BUTLER MO LLC

Practice address

416 S High St
Butler, MO 64730-1827

Phone

(660) 679-6158

Fax

(660) 679-4243

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Barry A Lazarus

Title

Vice President - Reimbursements

Phone

(419) 252-5541

Specialties & licenses 1

Addresses

Other names 1

• Heartland of Willow Lane Doing business as

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1891736690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN BARRY LAZARUS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5541",
            "fax_number": "419-252-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S HIGH ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301827",
            "telephone_number": "660-679-6158",
            "fax_number": "660-679-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND-WILLOW LANE OF BUTLER MO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland of Willow Lane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Butler, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.