Heritage Manor - Gillespie, LLC
Organization Active NPI Oxygen Equipment & Supplies (DME) · Gillespie, IL
NPI 1801130513 · NPPES record last updated Oct 18, 2016
Key facts
- NPI
- 1801130513
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- Legal business name
- HERITAGE MANOR - GILLESPIE, LLC
- Practice address
- 7588 Staunton Rd
Gillespie, IL 62033-3232 - Phone
- (217) 839-2171
- Fax
- (217) 839-1372
- NPI assigned
- Nov 19, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- HERITAGE ENTERPRISES, INC
Authorized official
- Name
- David Underwood, CPA
- Title
- Exec VP, Cfo
- Phone
- (309) 823-7135
National Provider Directory
- Part of
- Heritage Enterprises Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Yes |
Addresses
Primary practice location
7588 Staunton Rd
Gillespie, IL 62033-3232
Mailing address
115 W Jefferson St
Suite 401
Bloomington, IL 61701-3946
Phone (309) 828-4361
Other names
- Heritage Health
Other providers in Gillespie, IL
- Gillespie-Benld Area Ambulance Service, Inc.
- Angela Greene
- Ashley D Greenwalt
- Rachel Spncer Greer
- Jaclyn Joy Hake
- Heritage Manor Gillespie, LLC
- Bruce W Hughes
- Illinois Valley Rehabilitation Center
- Integrative Medical Solutions
- Jachino Corp.
All providers in Gillespie, IL · Oxygen Equipment & Supplies (DME) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.