MEDICARE: HEARTLAND INC

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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility		KS

General Provider Information

NPI Number	:	1427487602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND INC

Provider Business Mailing Address
First Line	:	8137 SANTA FE DR
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-3607
Country	:	US
Telephone Number	:	913-341-2265
Fax Number	:	913-648-4143

Provider Business Practice Location Address
First Line	:	8137 SANTA FE DR
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-3607
Country	:	US
Telephone Number	:	913-341-2265
Fax Number	:	913-648-4143

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KATHY NEWHAM
Credential	:
Telephone Number	:	913-341-2265

Provider Enumeration Date	:	11/07/2013
Last Update Date	:	11/07/2013

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Directions to “HEARTLAND INC ” Practice Location

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