Heritage Health

LBN: Heritage Manor - Mt. Zion, L.L.C.
Heritage Health is an health care organization with primary practice located at 1225 Woodland Dr , Mt Zion IL 62549-1237. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Heritage Manor - Mt. Zion, L.L.C. can be contacted via phone (217) 864-2356, or through Underwood, David M via phone (309) 823-7135.

Contact Information

Primary practice address
1225 Woodland Dr Mt Zion IL 62549-1237
Phone: (217) 864-2356
Fax: (217) 864-4960
Website:
Map and Directions
Authorized official contact:
Name: Underwood, David M CPA
Phone: (309) 823-7135

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X Illinois

Profile Details

NPI number 1497908974
LBN Legal business name Heritage Manor - Mt. Zion, L.L.C.
DBA Doing business as Heritage Health
Authorized official Underwood, David M CPA
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 29th, 2008
Last updated Nov 29th, 2016 - about 9 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 1497908974 NPPES
Illinois Other 37-0909086818 PRIOR MEDICAID OXYGEN PROVIDER #

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