Heritage Health - Beardstown

LBN: Heritage Manor Beardstown South, Llc
Heritage Health - Beardstown is an health care organization with primary practice located at 8306 Saint Lukes Dr , Beardstown IL 62618-8384. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Oxygen Equipment & Supplies. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Heritage Manor Beardstown South, Llc can be contacted via phone (217) 323-4055, or through Underwood, David M via phone (309) 828-4361.

Contact Information

Primary practice address
8306 Saint Lukes Dr Beardstown IL 62618-8384
Phone: (217) 323-4055
Fax: (217) 323-9454
Website:
Map and Directions
Authorized official contact:
Name: Underwood, David M
Phone: (309) 828-4361

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 48843 Illinois
Suppliers / Oxygen Equipment & Supplies 332BX2000X 0048843 Illinois

Profile Details

NPI number 1396736351
LBN Legal business name Heritage Manor Beardstown South, Llc
DBA Doing business as Heritage Health - Beardstown
Authorized official Underwood, David M
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 31st, 2005
Last updated May 27th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396736351 NPPES
Illinois MEDICAID 205300208-001
Illinois Other 205300208-801

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