Heritage Health - Mendota
LBN: Heritage Manor Mendota, Llc
Heritage Health - Mendota is an health care organization with primary practice located at 1201 1St Ave , Mendota IL 61342-1815. 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 Mendota, Llc can be contacted via phone (815) 539-6745, or through Underwood, David M via phone (309) 828-4361.
Contact Information
Primary practice address
1201 1St Ave
Mendota IL 61342-1815
Phone: (815) 539-6745
Fax: (815) 538-2017
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 48108 | Illinois |
Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 0048108 | Illinois |
Profile Details
NPI number | 1871583906 |
---|---|
LBN Legal business name | Heritage Manor Mendota, Llc |
DBA Doing business as | Heritage Health - Mendota |
Authorized official | Underwood, David M |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Oct 28th, 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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