Provider Demographics
NPI:1427487602
Name:HEARTLAND INC
Entity type:Organization
Organization Name:HEARTLAND INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-341-2265
Mailing Address - Street 1:8137 SANTA FE DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3607
Mailing Address - Country:US
Mailing Address - Phone:913-341-2265
Mailing Address - Fax:913-648-4143
Practice Address - Street 1:8137 SANTA FE DR
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3607
Practice Address - Country:US
Practice Address - Phone:913-341-2265
Practice Address - Fax:913-648-4143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities