1396736351 HERITAGE MANOR BEARDSTOWN SOUTH, LLC
Skilled Nursing Facility
Active
Basic Information
- Organization Name
- HERITAGE MANOR BEARDSTOWN SOUTH, LLC
- Enumeration Date
- October 31, 2005
- Last Update
- May 27, 2014
- Authorized Official
- MR. DAVID M UNDERWOOD
SR. VICE PRESIDENT & CFO
Phone: (309) 828-4361
Practice Location
- Address
- 8306 SAINT LUKES DR
BEARDSTOWN, IL 626188384 - Phone
- (217) 323-4055
- Fax
- (217) 323-9454
Mailing Address
- Address
- 115 W JEFFERSON ST
SUITE 401
BLOOMINGTON, IL 617013946 - Phone
- (309) 828-4361
- Fax
- (309) 829-9512
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) Oxygen Equipment & Supplies | 332BX2000X | Durable Medical Equipment & Medical Supplies | 0048843 | IL | No |
| Skilled Nursing Facility | 314000000X | Skilled Nursing Facility | 48843 | IL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205300208-001 | 05 | IL | N/A |
| 205300208-801 | 01 | IL | MEDICAID OXYGEN PROVIDER NUMBER |
Frequently Asked Questions
What is HERITAGE MANOR BEARDSTOWN SOUTH, LLC's NPI number?
HERITAGE MANOR BEARDSTOWN SOUTH, LLC's NPI number is 1396736351.
Which doctor has NPI number 1396736351?
The doctor with NPI number 1396736351 is HERITAGE MANOR BEARDSTOWN SOUTH, LLC.
What is HERITAGE MANOR BEARDSTOWN SOUTH, LLC's practice address?
HERITAGE MANOR BEARDSTOWN SOUTH, LLC's practice address is 8306 SAINT LUKES DR, BEARDSTOWN, IL, 626188384.
Which doctor practices at 8306 SAINT LUKES DR, BEARDSTOWN, IL, 626188384?
HERITAGE MANOR BEARDSTOWN SOUTH, LLC practices at 8306 SAINT LUKES DR, BEARDSTOWN, IL, 626188384.
What is HERITAGE MANOR BEARDSTOWN SOUTH, LLC's mailing address?
HERITAGE MANOR BEARDSTOWN SOUTH, LLC's mailing address is 115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL, 617013946.
What is HERITAGE MANOR BEARDSTOWN SOUTH, LLC's phone number?
HERITAGE MANOR BEARDSTOWN SOUTH, LLC's phone number is (217) 323-4055.
Who is (217) 323-4055?
(217) 323-4055 is the phone number for HERITAGE MANOR BEARDSTOWN SOUTH, LLC.
What is HERITAGE MANOR BEARDSTOWN SOUTH, LLC's specialty?
HERITAGE MANOR BEARDSTOWN SOUTH, LLC's specialty is Skilled Nursing Facility.
What type of doctor is HERITAGE MANOR BEARDSTOWN SOUTH, LLC?
HERITAGE MANOR BEARDSTOWN SOUTH, LLC is a Skilled Nursing Facility.
Is HERITAGE MANOR BEARDSTOWN SOUTH, LLC a Skilled Nursing Facility?
Yes, HERITAGE MANOR BEARDSTOWN SOUTH, LLC is a Skilled Nursing Facility.
Is HERITAGE MANOR BEARDSTOWN SOUTH, LLC still practicing?
Yes, HERITAGE MANOR BEARDSTOWN SOUTH, LLC is currently practicing.
Is HERITAGE MANOR BEARDSTOWN SOUTH, LLC accepting new patients?
HERITAGE MANOR BEARDSTOWN SOUTH, LLC may be accepting new patients. Please call their office at (217) 323-4055 to inquire about availability.
Is NPI 1396736351 still active?
Yes, NPI 1396736351 is currently active.
Where does HERITAGE MANOR BEARDSTOWN SOUTH, LLC practice?
HERITAGE MANOR BEARDSTOWN SOUTH, LLC practices in BEARDSTOWN, IL.