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General NPI Number Information
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NPI Number | 1700055860
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Entity Type | Organization
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Legal Business Name | HEARTLAND HOME CARE, INC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 4111 4TH AVE STE 18
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City | KEARNEY
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State | NE
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Zip | 68845
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Country | US
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Telephone | 308-234-4663
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Fax | 308-234-4668
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Provider Business Mailing Address
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Address Line | 4111 4TH AVE STE 18
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City | KEARNEY
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State | NE
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Zip | 68845
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Country | US
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Telephone | 308-234-4663
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Fax | 308-234-4668
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Authorized Official
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Title or Position | OFFICE MANAGER/ AUTHORIZED AGENT
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Name | JENIFER R HOVLAND
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Credential |
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Telephone | 605-624-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA1041
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License Number State | NE
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