Heritage Manor - Mt Sterling, LLC
Organization Active NPI Skilled Nursing Facility · Mt Sterling, IL
NPI 1891786927 · NPPES record last updated Apr 1, 2022
Key facts
- NPI
- 1891786927
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 48041 (IL)
- Legal business name
- HERITAGE MANOR - MT STERLING, LLC
- Practice address
- 435 Camden Rd
Mt Sterling, IL 62353-1058 - Phone
- (217) 773-3377
- Fax
- (217) 773-3255
- NPI assigned
- Oct 28, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- HERITAGE ENTERPRISES, INC
Authorized official
- Name
- Mr. David M Underwood
- Title
- Sr. VP & Cfo
- Phone
- (309) 828-4361
National Provider Directory
- Part of
- Heritage Enterprises Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | IL | ||
| Geriatric Physical Therapist |
2251G0304X | IL | ||
| Physical Therapy Assistant |
225200000X | IL | ||
| Physical Rehabilitation Occupational Therapist |
225XP0019X | IL | ||
| Speech-Language Pathologist |
235Z00000X | IL | ||
| Skilled Nursing Facility | 314000000X | 48041 | IL | Yes |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0048041 | IL |
Addresses
Primary practice location
435 Camden Rd
Mt Sterling, IL 62353-1058
Mailing address
115 W Jefferson St
Suite 401
Bloomington, IL 61701-3946
Phone (309) 828-4361
Other names
- Heritage Health - Mt. Sterling
Other providers in Mt Sterling, IL
- Nikki Gragg
- Sandra Ham
- Sydney E Hawley
- James Breckinridge Heaton II
- Katie Mae Herington
- Heritage Manor - Mt. Sterling
- Nancy J Hoemann
- Jeri Howell
- International Eyecare Center Inc
- Michael L Jersey
All providers in Mt Sterling, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2022. 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.