Provider Demographics
NPI:1801611033
Name:HEARTLAND HOUSE, INC
Entity type:Organization
Organization Name:HEARTLAND HOUSE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEN
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:806-765-6480
Mailing Address - Street 1:2605 N COUNTY ROAD 1700
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-9627
Mailing Address - Country:US
Mailing Address - Phone:806-765-6480
Mailing Address - Fax:806-771-3603
Practice Address - Street 1:2605 N COUNTY ROAD 1700
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-9627
Practice Address - Country:US
Practice Address - Phone:806-765-6480
Practice Address - Fax:806-771-3603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility