Heartland Manor Inc Nursing Center

Organization Active NPI Skilled Nursing Facility · Casey, IL

NPI 1861499006 · NPPES record last updated Dec 20, 2012

Key facts

NPI
1861499006
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
0002923 (IL)
Legal business name
HEARTLAND MANOR INC NURSING CENTER
Practice address
410 N W Third Street
Casey, IL 62420
Phone
(217) 932-4081
Fax
(217) 932-4922
NPI assigned
Jul 1, 2005
Organization subpart
No

Authorized official

Name
Penny J Chrysler
Title
Administrator
Phone
(217) 932-4081

National Provider Directory

Locations

410 NW 3rd St
#10
Casey, IL 62420
Phone (217) 932-4081

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0002923 IL Yes

Addresses

Primary practice location

410 N W Third Street
Casey, IL 62420

Mailing address

P O Box 10
410 N W Third Street
Casey, IL 62420-0010
Phone (217) 932-4081

Other identifiers

IdentifierTypeStateIssuer
0002923MedicaidIL

Other providers in Casey, IL

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

Sources for this page

Verify at the official NPI Registry.