Heritage Manor - Robinson, LLC

Organization Active NPI Skilled Nursing Facility · Robinson, IL

NPI 1376534859 · NPPES record last updated Jan 31, 2022

Key facts

NPI
1376534859
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
0045138 (IL)
Legal business name
HERITAGE MANOR - ROBINSON, LLC
Practice address
600 E Robinwood Drive
Robinson, IL 62454-3220
Phone
(618) 544-3192
Fax
(618) 544-7643
NPI assigned
Nov 2, 2005
Organization subpart
Yes
Parent organization (as reported)
HERITAGE ENTERPRISES, INC

Authorized official

Name
Mr. David M Underwood
Title
Sr. VP & Cfo
Phone
(309) 823-7135

National Provider Directory

Part of
Heritage Enterprises Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0045138 IL Yes
Oxygen Equipment & Supplies (DME) 332BX2000X 045138 IL

Addresses

Primary practice location

600 E Robinwood Drive
Robinson, IL 62454-3220

Mailing address

115 W Jefferson St
Suite 401
Bloomington, IL 61701-3946
Phone (309) 828-4361

Other names

  • Heritage Health - Robinson Doing business as

Other providers in Robinson, IL

All providers in Robinson, IL · Skilled Nursing Facility in Illinois

Sources for this page

Verify at the official NPI Registry.