Provider Demographics
NPI:1083270391
Name:HEART LAND SUPPORTS, LLC
Entity Type:Organization
Organization Name:HEART LAND SUPPORTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BENOIT
Authorized Official - Middle Name:M
Authorized Official - Last Name:SWINNEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-608-9090
Mailing Address - Street 1:4822 SW WEST HILLS DR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-2244
Mailing Address - Country:US
Mailing Address - Phone:785-608-9090
Mailing Address - Fax:
Practice Address - Street 1:313 MUSE ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-3829
Practice Address - Country:US
Practice Address - Phone:316-283-0843
Practice Address - Fax:316-804-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services