Provider Demographics
NPI:1255033239
Name:HEARTLAND HOME HEALTH LLC
Entity type:Organization
Organization Name:HEARTLAND HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTED LIVING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:
Authorized Official - Last Name:MURSAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-271-1595
Mailing Address - Street 1:7145 STEVENS AVE
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-3126
Mailing Address - Country:US
Mailing Address - Phone:507-271-1595
Mailing Address - Fax:612-416-8161
Practice Address - Street 1:7145 STEVENS AVE
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-3126
Practice Address - Country:US
Practice Address - Phone:612-416-1613
Practice Address - Fax:612-416-8161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility