Provider Demographics
NPI:1720365646
Name:HEARTLAND HOME MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:HEARTLAND HOME MEDICAL SUPPLY, INC.
Other - Org Name:HEARTLAND MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-515-4200
Mailing Address - Street 1:17164 SEWARD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68118-2812
Mailing Address - Country:US
Mailing Address - Phone:402-515-4200
Mailing Address - Fax:402-763-8503
Practice Address - Street 1:17164 SEWARD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68118-2812
Practice Address - Country:US
Practice Address - Phone:402-515-4200
Practice Address - Fax:402-763-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-06
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies