HEARTLAND - HOLLY GLEN
NPI 1477595080
Skilled Nursing Facility in Toledo, OH

Active since June 11, 2006CLIA 36D0331833 · Waiver
4293 MONROE ST, TOLEDO, OH 43606(419) 474-6021(419) 475-1946 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Heartland - Holly Glen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEARTLAND - HOLLY GLEN (NPI 1477595080) is a healthcare organization registered as a skilled nursing facility in Toledo, Ohio and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Martin D Allen, Director, as its authorized official.Information from the official NPPES registry record, last updated May 31, 2017.

NPPES Registry Identity

NPI1477595080
Entity TypeOrganization
Legal Business NameHEARTLAND-HOLLY GLEN OF TOLEDO OH LLC
Location Address4293 MONROE STToledo, OH 43606-1943
Mailing Address333 N Summit StToledo, OH 43604-2615 · (419) 252-5500 · Fax (877) 385-9446
Fax(419) 475-1946
Organization SubpartNo
Authorized OfficialMartin D AllenDirector · (419) 252-5734
Enumeration DateJune 11, 2006
Last NPPES UpdateMay 31, 2017
NPI 1477595080 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Skilled Nursing Facility

Taxonomy 314000000X · Nursing & Custodial Care Facilities

Licensed in OH · 1396N

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social… Show more

4293 MONROE ST, Toledo, OH 43606

Also on File with NPPES

Other Names1
Heartland - Holly Glen (Doing Business As)
Other Identifiers2
365849 (Medicare OSCAR/certification, OH)
2792036 (Medicaid, OH)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0331833
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
AFTAB ZAHRA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Heartland - Holly Glen to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for HEARTLAND - HOLLY GLEN

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Skilled Nursing Facility
4293 MONROE ST
TOLEDO, OH 43606
Skilled Nursing Facility
4293 MONROE ST
TOLEDO, OH 43606
Counselor (Mental Health)
4293 MONROE ST
TOLEDO, OH 43606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477595080, enumerated as an "organization" on June 11, 2006.

The provider is located at 4293 MONROE ST TOLEDO, OH 43606 and the phone number is (419) 474-6021.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.