Heritage Health - El Paso
LBN: Heritage Manor - El Paso, Llc
Heritage Health - El Paso is an health care organization with primary practice located at 555 E Clay St , El Paso IL 61738-1508. 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 - El Paso, Llc can be contacted via phone (309) 527-6240, or through Underwood, David M via phone (309) 828-4361.
Contact Information
Primary practice address
555 E Clay St
El Paso IL 61738-1508
Phone: (309) 527-6240
Fax: (309) 527-6243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 48124 | Illinois |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 0048124 | Illinois |
Profile Details
| NPI number | 1093706137 |
|---|---|
| LBN Legal business name | Heritage Manor - El Paso, Llc |
| DBA Doing business as | Heritage Health - El Paso |
| Authorized official | Underwood, David M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Apr 6th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093706137 | NPPES |
| Illinois | Other | 2039003447-801 | MEDICAID OXYGEN PROVIDER |
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