Organization
HEARTLAND NURSING & REHABILITATION LLC
Active
Other names
Heartland Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT E STOUT LNHA (CEO)
(618) 294-8696
Entity
Organization
Contact information
Practice address
410 NW 3RD ST, CASEY, IL 62420-1014
(217) 932-4081
(217) 932-4922
Mailing address
215 E LOCUST ST, HARRISBURG, IL 62946-1504
(618) 294-8696
(618) 294-8699
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-5416
MEDICAID ICF/DD CERTIFICATION
IL
Enumeration date
01/11/2019
Last updated
01/11/2019
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