Heartland of Peoria Il LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0027599 Issued in IL

Legal business name

HEARTLAND OF PEORIA IL LLC

Doing business as

Heartland Health Care Center-Peoria

Practice address

5600 N Glen Elm Dr
Peoria, IL 61614-4340

Phone

(309) 693-8777

Fax

(309) 693-8794

NPI assigned

Jun 1, 2006

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 2

Addresses

Other names 1

• Heartland Health Care Center-Peoria Doing business as

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1932146560",
    "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": "5600 N GLEN ELM DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144340",
            "telephone_number": "309-693-8777",
            "fax_number": "309-693-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND OF PEORIA IL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2017-06-05",
        "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": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0027599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Health Care Center-Peoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heartland Community Health Clinic
• Heartland Home Health Care
• Heartland Home Health Care
• Heartland Home Health Care Inc.
• Heartland Infustion Therapy
• Heartland Vascular Care PLLC
• Rhonda Heaton
• Lisa Heck, APN
• Shannan Hedge
• Kimberly Hedgespeth, DC

• Skilled Nursing Facility in Peoria, IL
• Providers in Peoria, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.