# HEARTLAND OF WHITEHALL MI LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Health Care Center - Whitehall
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376584086
- **Authorized official:** MR. MARTIN D ALLEN (DIRECTOR)
- **Authorized official phone:** (419) 252-5734

## Contact information

- **Practice address:** 916 E LEWIS ST, WHITEHALL, MI 49461-1699
- **Practice address phone:** (231) 894-4056
- **Practice address fax:** (231) 893-1106
- **Mailing address:** 333 N SUMMIT ST, TOLEDO, OH 43604-2615
- **Mailing address phone:** (419) 252-5500
- **Mailing address fax:** (877) 385-9446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 614120 | MI | Yes |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 05/31/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 605262660 | — | MI |