Heritage Health - Gibson City

LBN: Heritage Manor - Gibson City, Llc
Heritage Health - Gibson City is an health care organization with primary practice located at 620 E 1St St , Gibson City IL 60936-1822. 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 - Gibson City, Llc can be contacted via phone (217) 784-4257, or through Underwood, David M via phone (309) 828-4361.

Contact Information

Primary practice address
620 E 1St St Gibson City IL 60936-1822
Phone: (217) 784-4257
Fax: (217) 784-8279
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 48116 Illinois
Suppliers / Oxygen Equipment & Supplies 332BX2000X 0048116 Illinois

Profile Details

NPI number 1699765719
LBN Legal business name Heritage Manor - Gibson City, Llc
DBA Doing business as Heritage Health - Gibson City
Authorized official Underwood, David M
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 28th, 2005
Last updated Mar 21st, 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.

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