Provider Demographics
NPI:1871393587
Name:HEARTLAND CARE SERVICES
Entity type:Organization
Organization Name:HEARTLAND CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-512-0678
Mailing Address - Street 1:6311 AMES AVE # 1041
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2027
Mailing Address - Country:US
Mailing Address - Phone:402-512-0678
Mailing Address - Fax:402-625-0146
Practice Address - Street 1:7704 N 82ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1332
Practice Address - Country:US
Practice Address - Phone:402-512-0678
Practice Address - Fax:402-625-0146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care