Provider Demographics
NPI:1881627065
Name:HEARTLAND HEALTH MANAGEMENT, INC.
Entity type:Organization
Organization Name:HEARTLAND HEALTH MANAGEMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:ALANE
Authorized Official - Last Name:MATHENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-385-1400
Mailing Address - Street 1:701 E MAPLELEAF DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:IA
Mailing Address - Zip Code:52641-1402
Mailing Address - Country:US
Mailing Address - Phone:319-385-1400
Mailing Address - Fax:319-385-2385
Practice Address - Street 1:701 E MAPLELEAF DR
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:IA
Practice Address - Zip Code:52641-1402
Practice Address - Country:US
Practice Address - Phone:319-385-1400
Practice Address - Fax:319-385-2385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAS0230310400000X
IA440495313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0807446Medicaid
IA165478Medicare Oscar/Certification