Active NPI
County of Peoria
Doing business as Heddington Oaks
- Oxygen Equipment & Supplies (DME)
- West Peoria, IL
National Provider Identifier
1053577429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 1737473
- Legal business name
- COUNTY OF PEORIA
- Doing business as
- Heddington Oaks
- Practice address
- 2223 W Heading Ave
West Peoria, IL 61604-5139 - Phone
- (309) 636-3600
- Fax
- (309) 636-3610
- NPI assigned
- Aug 5, 2008
- Last updated
- Oct 16, 2013
- Organization subpart
- Yes
- Parent organization
- PEORIA COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lori Curtis Luther
- Title
- County Administrator
- Phone
- (309) 672-6056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 1737473 | IL | Primary |
Addresses
Primary practice location
2223 W Heading Ave
West Peoria, IL 61604-5139
Mailing address
324 Main St
Room 501
Peoria, IL 61602-2331
Phone (309) 677-6233
Other names 1
- Heddington Oaks
National Provider Directory
National Provider Directory- Tax ID family
- County of Peoria
- Part of
- County of Peoria
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Peoria City/County Health Department
- Public Health or Welfare Agency
- Peoria, IL
- NPI 1497889661
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Peoria, IL
- NPI 1629379359
-
- Secured Medical Transport (VAN)
- Peoria, IL
- NPI 1083970537
Locations
324 Main St
Ste 501
Peoria, IL 61602
Phone (309) 495-4612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381881600000",
"number": "1053577429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 MAIN ST",
"address_2": "ROOM 501",
"city": "PEORIA",
"state": "IL",
"postal_code": "616022331",
"telephone_number": "309-677-6233",
"fax_number": "309-495-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2223 W HEADING AVE",
"city": "WEST PEORIA",
"state": "IL",
"postal_code": "616045139",
"telephone_number": "309-636-3600",
"fax_number": "309-636-3610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF PEORIA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEORIA COUNTY",
"enumeration_date": "2008-08-05",
"last_updated": "2013-10-16",
"status": "A",
"authorized_official_last_name": "CURTIS LUTHER",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "COUNTY ADMINISTRATOR",
"authorized_official_telephone_number": "309-672-6056",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "IL",
"license": "1737473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heddington Oaks",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Peoria, IL
- Catholic Chariteis of the Diocese of Peorai
- Catholic Charities of the Diocese of Peoria
- Catholic Charities of the Diocese of Peoria
- Catholic Charities of the Diocese of Peoria
- Brianna M Coleman, PMHNP
- County of Peoria (Heddington Oaks)
- Creative Wisdom Counseling Services, LLC
- Andrea Desatnick, MA, NCC, LCPC
- Easter Seals-Ucp
- Chad Endres
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.