Organization Active NPI

Heritage Woods LLC

  • Assisted Living Facility
  • Flora, IL
National Provider Identifier
1669672465
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HERITAGE WOODS LLC
Practice address
1003 West 4TH Street
Flora, IL 62839
Phone
(618) 662-4599
Fax
(618) 662-6179
NPI assigned
Jul 19, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Deborah Michele Artis, MS LCPC
Title
Administrator
Phone
(618) 662-4599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X IL Primary

Addresses

Primary practice location

1003 West 4TH Street
Flora, IL 62839

Mailing address

1003 West 4TH Street
Flora, IL 62839
Phone (618) 662-4599

Other names 1

  • Heritage Woods of Flora Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2197582Heritage Woods of Flora1003 W 4TH St, Flora, IL 62839Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory
Tax ID family
Heritage Woods LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1669672465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WEST 4TH STREET",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "62839",
            "telephone_number": "618-662-4599",
            "fax_number": "618-662-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WEST 4TH STREET",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "62839",
            "telephone_number": "618-662-4599",
            "fax_number": "618-662-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE WOODS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ARTIS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-662-4599",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS LCPC"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Woods of Flora",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.