Provider Demographics
NPI:1700055860
Name:HEARTLAND HOME CARE, INC
Entity Type:Organization
Organization Name:HEARTLAND HOME CARE, INC
Other - Org Name:HEARTPRINT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER/ AUTHORIZED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOVLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-624-5900
Mailing Address - Street 1:4111 4TH AVE STE 18
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845
Mailing Address - Country:US
Mailing Address - Phone:308-234-4663
Mailing Address - Fax:308-234-4668
Practice Address - Street 1:4111 4TH AVE STE 18
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845
Practice Address - Country:US
Practice Address - Phone:308-234-4663
Practice Address - Fax:308-234-4668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA1041251E00000X
253Z00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD19522964OtherSD CAREGIVER RELIEF
SD9550590OtherSD MED WAIVER
SD9556140OtherMED WAIVER RESPITE
SD12058934OtherSD DEPT OF HUMAN SERVICE