Provider Demographics
NPI:1003913229
Name:HEARTLAND HOME CARE INC
Entity Type:Organization
Organization Name:HEARTLAND HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:KRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-672-2944
Mailing Address - Street 1:212 NORTH MARKET STREET
Mailing Address - Street 2:
Mailing Address - City:OSKALOOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52577
Mailing Address - Country:US
Mailing Address - Phone:641-672-2944
Mailing Address - Fax:641-672-2950
Practice Address - Street 1:212 NORTH MARKET STREET
Practice Address - Street 2:
Practice Address - City:OSKALOOSA
Practice Address - State:IA
Practice Address - Zip Code:52577
Practice Address - Country:US
Practice Address - Phone:641-672-2944
Practice Address - Fax:641-672-2950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA67247OtherWELLMARK
IA0672477Medicaid
167247Medicare ID - Type Unspecified