MEDICARE: HEARTS LANDING RANCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1356209530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTS LANDING RANCH

Provider Business Mailing Address
First Line	:	8902 QUAIL LN
Second Line	:
City	:	GRANITE BAY
State	:	CA
Zip	:	95746-9602
Country	:	US
Telephone Number	:	279-529-8279
Fax Number	:

Provider Business Practice Location Address
First Line	:	8902 QUAIL LN
Second Line	:
City	:	GRANITE BAY
State	:	CA
Zip	:	95746-9602
Country	:	US
Telephone Number	:	279-529-8279
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR & EQUINE SPECIAL
Name	:	DONNA ECKWORTZEL
Credential	:	ES
Telephone Number	:	916-521-1343

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “HEARTS LANDING RANCH ” Practice Location

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