Provider Demographics
NPI:1861129462
Name:HEARTLAND SWALLOW SOLUTIONS, LLC
Entity type:Organization
Organization Name:HEARTLAND SWALLOW SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BRINK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:402-679-1158
Mailing Address - Street 1:16903 CHUTNEY DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1405
Mailing Address - Country:US
Mailing Address - Phone:402-679-1158
Mailing Address - Fax:
Practice Address - Street 1:16903 CHUTNEY DR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-1405
Practice Address - Country:US
Practice Address - Phone:402-679-1158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty