MEDICARE: HEARTLAND HEALTH MANAGEMENT, 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	310400000X	Assisted Living Facility	S0230	IA
2	313M00000X	Nursing Facility/Intermediate Care Facility	440495	IA
3	314000000X	Skilled Nursing Facility	440495	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881627065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND HEALTH MANAGEMENT, INC.

Provider Business Mailing Address
First Line	:	701 E MAPLELEAF DR
Second Line	:
City	:	MOUNT PLEASANT
State	:	IA
Zip	:	52641-1402
Country	:	US
Telephone Number	:	319-385-1400
Fax Number	:	319-385-2385

Provider Business Practice Location Address
First Line	:	701 E MAPLELEAF DR
Second Line	:
City	:	MOUNT PLEASANT
State	:	IA
Zip	:	52641-1402
Country	:	US
Telephone Number	:	319-385-1400
Fax Number	:	319-385-2385

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. SHEILA ALANE MATHENEY
Credential	:
Telephone Number	:	319-385-1400

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	03/23/2009

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Directions to “HEARTLAND HEALTH MANAGEMENT, INC. ” Practice Location

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