HERITAGE MANOR - COLFAX, LLC (NPI# 1205827268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205827268 |
| Entity Type | Organization |
| Organization Name | HERITAGE MANOR - COLFAX, LLC |
| Other Organization Name | HERITAGE ENTERPRISES, INC. DBA HERITAGE MANOR - COLFAX |
| Practice Address |
402 S Harrison St R.r. 2, Box 56 Colfax IL 61728-7536 |
| Mailing Address |
115 W Jefferson St Suite 401 Bloomington IL 61701-3946 |
| Practice Telephone | 3097232591 |
| Practice Fax Number | 3097233013 |
| Mailing Telephone | 3098284361 |
| Mailing Fax Number | 3098299512 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2010-09-11 |
| Authorized Official Name | MR. CRAIG L ATER (EXEC. VP & CFO) |
| Authorized Official Telephone | 3098284361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0048140 | IL | Suppliers |
| Y | 314000000X | Skilled Nursing Facility | 48140 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Heritage Enterprises, Inc. dba Heritage Manor - Colfax | Former Legal Business Name - Organization |
| Street Address |
402 S HARRISON ST R.R. 2, BOX 56 |
| City | COLFAX |
| State | IL |
| Zip Code | 61728-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366815342 | Aperion Care Colfax LLC | Skilled Nursing Facility | 402 S Harrison St, Colfax, IL 61728-7536 | 2015-11-12 |
| 1790190577 | Arba Care Center of Colfax LLC | Skilled Nursing Facility | 402 S Harrison St, Colfax, IL 61728-7536 | 2014-06-30 |
| 1427352756 | Asta Care Center of Colfax LLC | Skilled Nursing Facility | 402 S Harrison St, Colfax, IL 61728-7536 | 2010-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922166727 | Eastern Mclean County Ambulance Assoc | Ambulance | 124 E Main St, Colfax, IL 61728-0183 | 2006-12-05 |
| 1831790955 | Allie L Born | Massage Therapist | 105 S Center St, Colfax, IL 61728-8954 | 2020-11-04 |
| 1861707903 | Colfax Family Chiropractic | Chiropractor | 108 W Main St, Colfax, IL 61728-9214 | 2010-08-12 |
| 1588671705 | Robert William Duncan | Chiropractor | 108 W Main St, Colfax, IL 61728-9214 | 2006-08-01 |
| 1144731993 | Sandy Jo Kollross | Speech-Language Pathologist | 300 S Harrison St, Colfax, IL 61728-9216 | 2017-10-19 |
| 1700923109 | Ridgeview Cusd 19 | Local Education Agency (LEA) | 309 N Harrison St, Colfax, IL 61728-9258 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936070 | Louisiana Behavioral Services | Community/Behavioral Health | 457 2nd St, Colfax, LA 71417-1807 | 2020-06-15 |
| 1891319695 | Mountain Side Behavioral Health | Counselor | 1033 South Drive, Colfax, CA 95713 | 2020-06-08 |
| 1952924680 | Just Health | Clinic/Center | 205 Cypress St, Colfax, LA 71417-1821 | 2020-05-28 |
| 1326669722 | Heather Smith | Physical Therapist | 8257 Ballard Rd, Colfax, NC 27235-9710 | 2020-04-27 |
| 1013536119 | Just Health | Clinic/Center | 200 Main St Rm 203, Colfax, LA 71417-1859 | 2020-04-09 |
| 1447888391 | Catherine Troy | Recreational Therapist Assistant | 1000 Pinetop Cir Apt 38, Colfax, CA 95713-9279 | 2020-03-27 |
| 1629601364 | Maddie Henrish | Nurse Practitioner | 1212 Carriage House Dr, Colfax, NC 27235-9420 | 2020-02-21 |
| 1851948020 | Travis Allen | Case Manager/Care Coordinator | 291 Alford Rd, Colfax, LA 71417-5435 | 2019-08-22 |
| 1578125886 | Brittney Borts | Pharmacist | 615 S Hastings Ave, Colfax, IA 50054-1641 | 2019-07-08 |
| 1043788508 | Diana Mindham | Counselor | 8327 Highway F48 W, Colfax, IA 50054-7836 | 2018-11-02 |
| Find all providers in COLFAX | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750378881 | Colfax Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 110 Park Drive, Colfax, WI 54730-8902 | 2005-10-04 |
| 1265427397 | Evergreen Washington Healthcare Whitman, L.L.C. | Skilled Nursing Facility | 1150 W Fairview St, Colfax, WA 99111-9580 | 2005-09-14 |
| 1518968890 | Presbyterian Homes Inc | Skilled Nursing Facility | 1575 John Knox Dr, Colfax, NC 27235-9662 | 2005-08-09 |
| 1487651360 | Fleur Delis Health Care, LLC | Skilled Nursing Facility | 366 Webb Smith Dr, Colfax, LA 71417-1910 | 2005-07-07 |
| 1366815342 | Aperion Care Colfax LLC | Skilled Nursing Facility | 402 S Harrison St, Colfax, IL 61728-7536 | 2015-11-12 |
| 1790190577 | Arba Care Center of Colfax LLC | Skilled Nursing Facility | 402 S Harrison St, Colfax, IL 61728-7536 | 2014-06-30 |
| 1427352756 | Asta Care Center of Colfax LLC | Skilled Nursing Facility | 402 S Harrison St, Colfax, IL 61728-7536 | 2010-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413537 | Citadel of Glenview LLC | Skilled Nursing Facility | 1700 E Lake Ave, Glenview, IL 60025-2003 | 2020-09-28 |
| 1598379075 | Patient Builders Marketing | Skilled Nursing Facility | 800 W Army Trail Rd, Carol Stream, IL 60188-9040 | 2020-09-02 |
| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| Find all providers with the same taxonomy | ||||
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| 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.