Provider Demographics
NPI:1871582650
Name:HEARTLAND NURSING ENT
Entity type:Organization
Organization Name:HEARTLAND NURSING ENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TERRAZAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-537-4078
Mailing Address - Street 1:13 NOTTINGHAM LN
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-7912
Mailing Address - Country:US
Mailing Address - Phone:830-537-4078
Mailing Address - Fax:830-537-4082
Practice Address - Street 1:13 NOTTINGHAM LN
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-7912
Practice Address - Country:US
Practice Address - Phone:830-537-4078
Practice Address - Fax:830-537-4082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric