Organization Active NPI

County of Peoria

Doing business as Heddington Oaks

  • Oxygen Equipment & Supplies (DME)
  • West Peoria, IL
National Provider Identifier
1053577429
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1737473 Issued in IL
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, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PEORIA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Peoria4 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.