HEARTLAND WELLNESS CENTER PLLC
NPI 1801571229
Nurse Practitioner - Family in Homewood, IL

Active since June 21, 2023CLIA 14D2325041 · Waiver
18036 GOTTSCHALK AVE, HOMEWOOD, IL 60430(708) 491-2655 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Jun 21, 2023 (2 updates tracked since 2023).

About Heartland Wellness Center Pllc NPPES

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

HEARTLAND WELLNESS CENTER PLLC (NPI 1801571229) is a healthcare organization registered as a family in Homewood, Illinois and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through June 4, 2027, maintains a secondary practice location in Thornton, and lists Taletha K Brown, Apn, as its authorized official.

NPPES Registry Identity

NPI1801571229
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEARTLAND WELLNESS CENTER PLLC
Location Address18036 GOTTSCHALK AVEHomewood, IL 60430-1712
Mailing Address304 Queens LnThornton, IL 60476-1080 · (708) 564-5071 · Fax (708) 564-5010
Organization SubpartNo
Authorized OfficialTaletha K BrownApn · (708) 491-2655
Enumeration DateJune 21, 2023
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
NPI 1801571229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
18036 GOTTSCHALK AVE, Homewood, IL 60430

Secondary Practice Location 1

Location 1304 Queens LnThornton, IL 60476-1080 · Phone (708) 564-5071 · Fax (708) 564-5010

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2325041

Heartland Wellness Center PLLC · Homewood, IL
Active · expires Jun 4, 2027
CLIA Number14D2325041
Laboratory TypePractitioner Other
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorCornelius T. Brown Jr
Laboratory Phone(708) 310-4243
Laboratory LocationHeartland Wellness Center PLLC18036 Gottschalk Ave, Homewood, IL 60430
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
18036 GOTTSCHALK AVE
HOMEWOOD, IL 60430
Clinic/Center (Health Service)
18036 GOTTSCHALK AVE
HOMEWOOD, IL 60430
Massage Therapist
18036 GOTTSCHALK AVE
HOMEWOOD, IL 60430
Nurse Practitioner (Family)
18036 GOTTSCHALK AVE
HOMEWOOD, IL 60430
Registered Nurse
18036 GOTTSCHALK AVE
HOMEWOOD, IL 60430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heartland Wellness Center PLLC's NPI number?

The NPI number for Heartland Wellness Center PLLC is 1801571229. It was assigned to this organization in the NPPES registry on June 21, 2023.

Where is Heartland Wellness Center PLLC located?

Heartland Wellness Center PLLC is located at 18036 Gottschalk Ave, Homewood, IL 60430. The listed phone number is (708) 491-2655.

What is Heartland Wellness Center PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Heartland Wellness Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2325041) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heartland Wellness Center PLLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.