NPIMap

Organization Active NPI

Heritage Woods of Ottawa

  • Assisted Living Facility
  • Ottawa, IL
National Provider Identifier
1811181902
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HERITAGE WOODS OF OTTAWA
Practice address
801 E Etna Rd
Ottawa, IL 61350-9106
Phone
(815) 431-1400
Fax
(815) 431-9147
NPI assigned
Aug 31, 2007
Last updated
Aug 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Mrs. Barbara Jean Wheatland, RN
Title
Administrator
Phone
(815) 431-1400

Specialties & licenses 1

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

Addresses

Primary practice location

801 E Etna Rd
Ottawa, IL 61350-9106

Mailing address

801 E Etna Rd
Ottawa, IL 61350-9106
Phone (815) 431-1400

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": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1811181902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E ETNA RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509106",
            "telephone_number": "815-431-1400",
            "fax_number": "815-431-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E ETNA RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613509106",
            "telephone_number": "815-431-1400",
            "fax_number": "815-431-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE WOODS OF OTTAWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "WHEATLAND",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-431-1400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.