HERITAGE MANOR - GIBSON CITY, LLC


Address: 620 E 1st St, Gibson City, IL 60936-1822
Phone: 2177844257

HERITAGE MANOR - GIBSON CITY, LLC (NPI# 1184968885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184968885
Entity Type Organization
Organization Name HERITAGE MANOR - GIBSON CITY, LLC
Other Organization Name HERITAGE HEALTH
Practice Address 620 E 1st St
Gibson City
IL 60936-1822
Mailing Address 115 W Jefferson St
Suite 401
Bloomington
IL 61701-3946
Practice Telephone 2177844257
Practice Fax Number 2177848279
Mailing Telephone 3098284361
Mailing Fax Number 3098295477
Enumeration Date 2012-11-19
Last Update Date 2016-10-18
Authorized Official Name DAVID UNDERWOOD (EXEC VP, CFO)
Authorized Official Telephone 3098237135
Authorized Official Credential CPA
Is Organization Subpart Y
Parent Organization Name HERITAGE ENTERPRISES, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BX2000X Durable Medical Equipment & Medical Supplies
Specialization: Oxygen Equipment & Supplies
Suppliers

Other Provider/Organization Names

Other Name Type Code
Heritage Health Doing Business As Name - Organization

Office Location

Street Address 620 E 1ST ST
City GIBSON CITY
State IL
Zip Code 60936-1822

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699765719 Heritage Manor Gibson City, LLC Durable Medical Equipment & Medical Supplies 620 E 1st St, Gibson City, IL 60936-1822 2005-10-28
1679064612 Sherry Lynn Darling Occupational Therapy Assistant 620 E 1st St, Gibson City, IL 60936-1822 2018-05-25
1407264385 Elizabeth Mcburney Speech-Language Pathologist 620 E 1st St, Gibson City, IL 60936-1822 2014-07-23
1619384286 Georganne Morris Physical Therapist 620 E 1st St, Gibson City, IL 60936-1822 2014-07-16
1255584579 Karen E Maged Occupational Therapist 620 E 1st St, Gibson City, IL 60936-1822 2008-10-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073738738 Carrie Ann Lithgow Physical Therapist 109 N. Sangamon Ave, Gibson City, IL 60936 2007-04-16
1144359001 Kerrie Ann Patrick Registered Nurse 222 N Sangamon, Gibson City, IL 60936 2007-03-05
1578612800 Donna J Boundy Dentist 627 E 8th St, Gibson City, IL 60936 2007-01-09
1093878241 Drew Curtis Duquette Chiropractor 523 and One Half South Sangamon Ave, Gibson City, IL 60936 2006-12-19
1386727642 Amnuay Sethakorn Family Medicine 4 Doctors Park, Gibson City, IL 60936 2006-10-23
1689687295 Alexander V Grandt Nurse Practitioner 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 2006-08-14
1811125784 Gibson Community Hospital Association Surgery 1 Doctors Park, Gibson City, IL 60936 2009-06-30
1295991701 Trilok Shah Psychiatry & Neurology 4 Doctors Park, Gibson City, IL 60936 2008-08-04
1013050046 Rebecca Anne Wildermuth Specialist/Technologist 10 Doctors Park, Gibson City, IL 60936 2007-02-15
1245312602 Ginny E Pulley Licensed Practical Nurse 222 N Sangamon Ave, Gibson City, IL 60936 2006-10-19
Find all providers in zip 60936

Taxonomy Information

Taxonomy Code 332BX2000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Oxygen Equipment & Supplies

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699765719 Heritage Manor Gibson City, LLC Durable Medical Equipment & Medical Supplies 620 E 1st St, Gibson City, IL 60936-1822 2005-10-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821699026 First Choice Medical Equipment, Inc Durable Medical Equipment & Medical Supplies 65 S 65th St Ste 10, Belleville, IL 62223-2946 2020-11-04
1619596624 Gz Service Inc Durable Medical Equipment & Medical Supplies 576 Jennifer Cir, Mundelein, IL 60060-4110 2020-04-09
1528690526 Nationwide Medical, Inc. Durable Medical Equipment & Medical Supplies 415 W Golf Rd Ste 48, Arlington Heights, IL 60005-3923 2020-02-07
1477024347 Karma7 Medical Supply LLC Durable Medical Equipment & Medical Supplies 1840 Industrial Dr Ste 160, Libertyville, IL 60048-9400 2018-12-17
1700354354 True Respiratory Care & Medical Management LLC Durable Medical Equipment & Medical Supplies 11415 183rd Pl Ste B, Orland Park, IL 60467-5011 2018-11-12
1467951699 Sarah Bush Lincoln Health Center Durable Medical Equipment & Medical Supplies 903 N Maple St, Effingham, IL 62401 2018-02-02
1215436449 Sarah Bush Lincoln Health Center Durable Medical Equipment & Medical Supplies 300 Coles Centre Pkwy, Mattoon, IL 61938 2018-02-02
1669992665 Easy Oxygen Inc. Durable Medical Equipment & Medical Supplies 1862 E Belvidere Road #125, Grayslake, IL 60030 2017-06-21
1487103560 The Elms Durable Medical Equipment & Medical Supplies 1212 Madelyn Ave, Macomb, IL 61455-3324 2016-09-29
1457807257 Genventures Inc Durable Medical Equipment & Medical Supplies 101 S. College Avenue, Aledo, IL 61231-1630 2016-08-31
Find all providers with the same taxonomy

Competitor

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City GIBSON CITY
Zip Code 60936

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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