Provider Demographics
NPI:1386145662
Name:HEARTLAND CARE, INC.
Entity type:Organization
Organization Name:HEARTLAND CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:
Authorized Official - Last Name:AKRAMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-985-7009
Mailing Address - Street 1:1126 W FOOTHILL BLVD STE 195
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3768
Mailing Address - Country:US
Mailing Address - Phone:909-985-7009
Mailing Address - Fax:909-985-7069
Practice Address - Street 1:1126 W FOOTHILL BLVD STE 195
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3768
Practice Address - Country:US
Practice Address - Phone:909-985-7009
Practice Address - Fax:909-985-7069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA364700022253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care