1093706137 HERITAGE MANOR - EL PASO, LLC
Skilled Nursing Facility
Active
Basic Information
- Organization Name
- HERITAGE MANOR - EL PASO, LLC
- Enumeration Date
- October 28, 2005
- Last Update
- April 6, 2022
- Authorized Official
- MR. DAVID M UNDERWOOD
SR. VP & CFO
Phone: (309) 828-4361
Practice Location
- Address
- 555 E CLAY ST
EL PASO, IL 617381508 - Phone
- (309) 527-6240
- Fax
- (309) 527-6243
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 | 0048124 | IL | No |
| Skilled Nursing Facility | 314000000X | Skilled Nursing Facility | 48124 | IL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2039003447-801 | 01 | IL | MEDICAID OXYGEN PROVIDER |
Frequently Asked Questions
What is HERITAGE MANOR - EL PASO, LLC's NPI number?
HERITAGE MANOR - EL PASO, LLC's NPI number is 1093706137.
Which doctor has NPI number 1093706137?
The doctor with NPI number 1093706137 is HERITAGE MANOR - EL PASO, LLC.
What is HERITAGE MANOR - EL PASO, LLC's practice address?
HERITAGE MANOR - EL PASO, LLC's practice address is 555 E CLAY ST, EL PASO, IL, 617381508.
Which doctor practices at 555 E CLAY ST, EL PASO, IL, 617381508?
HERITAGE MANOR - EL PASO, LLC practices at 555 E CLAY ST, EL PASO, IL, 617381508.
What is HERITAGE MANOR - EL PASO, LLC's mailing address?
HERITAGE MANOR - EL PASO, LLC's mailing address is 115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL, 617013946.
What is HERITAGE MANOR - EL PASO, LLC's phone number?
HERITAGE MANOR - EL PASO, LLC's phone number is (309) 527-6240.
Who is (309) 527-6240?
(309) 527-6240 is the phone number for HERITAGE MANOR - EL PASO, LLC.
What is HERITAGE MANOR - EL PASO, LLC's specialty?
HERITAGE MANOR - EL PASO, LLC's specialty is Skilled Nursing Facility.
What type of doctor is HERITAGE MANOR - EL PASO, LLC?
HERITAGE MANOR - EL PASO, LLC is a Skilled Nursing Facility.
Is HERITAGE MANOR - EL PASO, LLC a Skilled Nursing Facility?
Yes, HERITAGE MANOR - EL PASO, LLC is a Skilled Nursing Facility.
Is HERITAGE MANOR - EL PASO, LLC still practicing?
Yes, HERITAGE MANOR - EL PASO, LLC is currently practicing.
Is HERITAGE MANOR - EL PASO, LLC accepting new patients?
HERITAGE MANOR - EL PASO, LLC may be accepting new patients. Please call their office at (309) 527-6240 to inquire about availability.
Is NPI 1093706137 still active?
Yes, NPI 1093706137 is currently active.
Where does HERITAGE MANOR - EL PASO, LLC practice?
HERITAGE MANOR - EL PASO, LLC practices in EL PASO, IL.