Provider Demographics
NPI:1093146060
Name:HEARTHSTONE, A MINISTRY OF WESLEYLIFE, LLC
Entity Type:Organization
Organization Name:HEARTHSTONE, A MINISTRY OF WESLEYLIFE, LLC
Other - Org Name:THE COTTAGES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:641-620-4100
Mailing Address - Street 1:1742 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-7687
Mailing Address - Country:US
Mailing Address - Phone:641-620-4100
Mailing Address - Fax:641-620-4195
Practice Address - Street 1:1742 MAIN ST
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-7687
Practice Address - Country:US
Practice Address - Phone:641-620-4100
Practice Address - Fax:641-620-4195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility