Heritage Woods of Benton

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE WOODS OF BENTON

Practice address

1305 Bailey LN
Benton, IL 62812-2861

Phone

(618) 439-9431

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan R. Coloni

Title

Administrator

Phone

(618) 439-9431

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972709657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 BAILEY LN",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628122861",
            "telephone_number": "618-439-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 BAILEY LN",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628122861",
            "telephone_number": "618-439-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE WOODS OF BENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLONI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-439-9431",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Haskins
• Alexys Hayes
• Health Plan of Southern Illinois, Inc.
• Helia Healthcare of Benton
• Helia Healthcare of Benton, LLC
• Highland Park CVS, L.L.C.
• Samantha Hilmers, MSW, LCSW
• Robert Loren Hitt, CRNA, APN
• Lovelia Cabrera Horn, PT
• Brooke Hudson, FNP

• Assisted Living Facility in Benton, IL
• Providers in Benton, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.