Healthcare Provider Details

I. General information

NPI: 1386729143
Provider Name (Legal Business Name): HEARTSPRING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 EAST 29TH STREET NORTH
WICHITA KS
67226-2169
US

IV. Provider business mailing address

8700 E 29TH ST N
WICHITA KS
67226-2169
US

V. Phone/Fax

Practice location:
  • Phone: 316-634-8700
  • Fax: 316-634-0555
Mailing address:
  • Phone: 316-634-8700
  • Fax: 316-634-8891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0008X
TaxonomyPediatric Neurodevelopmental Disabilities Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number31763
License Number StateKS

VIII. Authorized Official

Name: GREG ALAN UNRUH
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 316-634-8700