Organization Active NPI

Heartland Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Baxter, MN
National Provider Identifier
1902113764
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HEARTLAND RECOVERY SERVICES
Practice address
4781 Mapleton Rd
Baxter, MN 56425-5011
Phone
(218) 454-0041
Fax
(218) 825-8536
NPI assigned
Aug 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Ms. Kelly Joan Cooper-Swenson, MA
Title
Administrator
Phone
(218) 454-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4781 Mapleton Rd
Baxter, MN 56425-5011

Mailing address

4781 Mapleton Rd
Baxter, MN 56425-5011
Phone (218) 454-0041

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1902113764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 MAPLETON RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564255011",
            "telephone_number": "218-454-0041",
            "fax_number": "218-825-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4781 MAPLETON RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564255011",
            "telephone_number": "218-454-0041",
            "fax_number": "218-825-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "COOPER-SWENSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-454-0041",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.