Heartland Supported Living Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEARTLAND SUPPORTED LIVING INC.

Practice address

205 N New Madrid St
Sikeston, MO 63801-4142

Phone

(573) 475-4108

Fax

(573) 475-4109

NPI assigned

Apr 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ron McCormick

Title

Corporate President

Phone

(573) 475-4108

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland Supported Living Inc. Other name

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1932499415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N MAIN ST # 122",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014211",
            "telephone_number": "573-475-4108",
            "fax_number": "573-475-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N NEW MADRID ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014142",
            "telephone_number": "573-475-4108",
            "fax_number": "573-475-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND SUPPORTED LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "573-475-4108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320900000X",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Supported Living Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Health Priorities Inc
• Health Priorities, Inc.
• Heartland Imaging, LLC
• Heartland Resource Council
• Heartland Resource Council
• Emily Heberlie
• Kelly M Heironimus, LMSW
• Elizabeth Jordan Heise, MOT OTR/L
• Beth R Heisler, OTR/L
• Bailey Helbling

• In Home Supportive Care Agency in Sikeston, MO
• Providers in Sikeston, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.