Provider Demographics
NPI:1366148470
Name:HEARTLAND LIFECARE SOLUTIONS LLC
Entity type:Organization
Organization Name:HEARTLAND LIFECARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HAAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-707-2933
Mailing Address - Street 1:9902 W 145TH CT
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-7565
Mailing Address - Country:US
Mailing Address - Phone:913-707-2933
Mailing Address - Fax:
Practice Address - Street 1:9902 W 145TH CT
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-7565
Practice Address - Country:US
Practice Address - Phone:913-707-2933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care