County of Peoria

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

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

Dec 11, 2006

Last updated

Oct 16, 2013By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Heddington Oaks Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• County of Peoria

  dba Peoria City/County Health Department

  • Public Health or Welfare Agency
  • Peoria, IL
  • NPI 1497889661

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1184784118",
    "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": "NO",
        "enumeration_date": "2006-12-11",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1737473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069333049001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heddington Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Keith R Fuentes, PHARM.D.

• Skilled Nursing Facility in West Peoria, IL
• Providers in West Peoria, IL by specialty
• Skilled Nursing Facility in Illinois

• 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.