Organization
HEARTLAND RESIDENTIAL CARE FACILITY, INC.
Active
Organization
HEARTLAND RESIDENTIAL CARE FACILITY, INC.
Active
Parent organization
HEARTLAND III RESIDENTIAL CARE FACILITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND III RESIDENTIAL CARE FACILITY
Authorized official
BROOKE A WAITKOSS (OWNER)
(816) 676-1506
Entity
Organization
Contact information
Practice address
1606 S 38TH ST, SAINT JOSEPH, MO 64507-2216
(816) 390-8941
(816) 279-7728
Mailing address
1606 S 38TH ST, SAINT JOSEPH, MO 64507-2216
(816) 390-8941
(816) 279-7728
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00587818
—
MO
05
—
22268115
—
MO
05
—
65069904
—
MO
Enumeration date
12/05/2022
Last updated
07/11/2023
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