Heartland Isl in Elk Creek - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Heartland Isl - NPI 1750415816
Heartland Isl is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Elk Creek, Missouri. Heartland Isl practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Heartland Isl is 1750415816. The last update date is 2020-08-22.
Heartland Isl's current location address is 18116 Rocky Top Rd, Elk Creek, Missouri. You can contact this provider via phone number 4179324170. The mailing address for Heartland Isl is 18116 Rocky Top Rd, Elk Creek, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heartland Isl |
|---|---|
| Address | 18116 Rocky Top Rd, Elk Creek, Missouri |
| Phone Number | 4179324170 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER |
|---|---|
| Authorized Official Name | Coulter Lea Linda |
| Telephone Number | 4179324170 |
NPI Number Detail
| NPI Number | 1750415816 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 18116 Rocky Top Rd |
|---|---|
| City | Elk Creek |
| State | Missouri (MO) |
| Post Code | 654649119 |
| Phone Number | 4179324170 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique 10-digit identifier code issued to Heartland Isl by the Centers for Medicare & Medicaid Services?
The Heartland Isl has been assigned the NPI (National Provider Identifier) 1750415816 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Heartland Isl is physically located?
The Heartland Isl is physically situated at the following address: 18116 Rocky Top Rd, Elk Creek, MO, 654649119.
What is Heartland Isl's area of expertise and its corresponding taxonomy classification?
The Heartland Isl's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750415816 to Heartland Isl?
The Centers for Medicare & Medicaid Services originally issued the 1750415816 to Heartland Isl on 2007-03-14.
When was the information pertaining to Heartland Isl most recently updated or revised?
The details related to Heartland Isl, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.