Heritage Health - Peru

LBN: Heritage Manor - Peru, Llc
Heritage Health - Peru is an health care organization with primary practice located at 1301 21St St , Peru IL 61354-1359. 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 - Peru, Llc can be contacted via phone (815) 223-4901, or through Underwood, David M via phone (309) 828-4361.

Contact Information

Primary practice address
1301 21St St Peru IL 61354-1359
Phone: (815) 223-4901
Fax: (815) 223-6912
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 48090 Illinois
Suppliers / Oxygen Equipment & Supplies 332BX2000X 0048090 Illinois

Profile Details

NPI number 1013907138
LBN Legal business name Heritage Manor - Peru, Llc
DBA Doing business as Heritage Health - Peru
Authorized official Underwood, David M
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 28th, 2005
Last updated Apr 18th, 2022 - about 3 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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