Provider Demographics
NPI:1437997038
Name:HANDS OF HEARTLAND IOWA LLC
Entity type:Organization
Organization Name:HANDS OF HEARTLAND IOWA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:COLWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-830-0308
Mailing Address - Street 1:209 GALVIN RD N
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-4852
Mailing Address - Country:US
Mailing Address - Phone:402-830-0308
Mailing Address - Fax:
Practice Address - Street 1:215 S MAIN ST STE 306
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-6585
Practice Address - Country:US
Practice Address - Phone:402-830-0308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health