HERITAGE MANOR - BEARDSTOWN SOUTH, LLC (NPI# 1598009128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598009128 |
| Entity Type | Organization |
| Organization Name | HERITAGE MANOR - BEARDSTOWN SOUTH, LLC |
| Other Organization Name | HERITAGE HEALTH |
| Practice Address |
8306 Saint Lukes Dr Beardstown IL 62618-8384 |
| Mailing Address |
115 W Jefferson St Suite 401 Bloomington IL 61701-3946 |
| Practice Telephone | 2173234055 |
| Practice Fax Number | 2173239454 |
| Mailing Telephone | 3098284361 |
| Mailing Fax Number | 3098295477 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2016-03-24 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| Heritage Health | Doing Business As Name - Organization |
| Street Address |
8306 SAINT LUKES DR |
| City | BEARDSTOWN |
| State | IL |
| Zip Code | 62618-8384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736351 | Heritage Manor Beardstown South, LLC | Durable Medical Equipment & Medical Supplies | 8306 Saint Lukes Dr, Beardstown, IL 62618-8384 | 2005-10-31 |
| 1669944435 | Beth M Blankenship | Physical Therapy Assistant | 8306 Saint Lukes Dr, Beardstown, IL 62618-8384 | 2018-12-18 |
| 1043612195 | Briana M. Arenz | Speech-Language Pathologist | 8306 Saint Lukes Dr, Beardstown, IL 62618-8384 | 2014-09-19 |
| 1295162212 | Cassandra L Henry | Speech-Language Pathologist | 8306 Saint Lukes Dr, Beardstown, IL 62618-8384 | 2013-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962646042 | Cass County Mental Health | Clinic/Center | 7 Bridgeview, Beardstown, IL 62618 | 2009-04-21 |
| 1750562195 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 113 West 3rd St, Beardstown, IL 62618 | 2007-11-14 |
| 1316162993 | John Gauer Merrihew Dmd Ltd | Dentist | 1020 State St, Beardstown, IL 62618 | 2007-04-17 |
| 1942316179 | Cass County Mental Health Assoc | Clinic/Center | 121 E 2nd Street, Beardstown, IL 62618 | 2006-08-21 |
| 1619922143 | Sembu Kanthilal | Family Medicine | 507 Washington St, Beardstown, IL 62618 | 2006-05-23 |
| 1538111638 | Schuyler County Hospital District | Clinic/Center | 8460 St Lukes Dr, Beardstown, IL 62618 | 2006-05-17 |
| 1255795902 | Cass County Mental Health Association | Rehabilitation, Substance Use Disorder Unit | 121 E 2nd St, Beardstown, IL 62618 | 2016-04-08 |
| 1326282401 | Cass County Mental Health | Clinic/Center | 415 Clendenin St, Beardstown, IL 62618 | 2009-04-21 |
| 1801932728 | Diane M Morris | Counselor | 415 Clendenin St, Beardstown, IL 62618-1034 | 2007-01-29 |
| 1679002125 | Michala Nicole Swanger | Counselor | 415 Clendenin St, Beardstown, IL 62618-1034 | 2017-06-08 |
| Find all providers in zip 62618 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700877693 | Heritage Manor - Beardstown East, L.L.C. | Durable Medical Equipment & Medical Supplies | 1501 Canal St, Beardstown, IL 62618-2349 | 2005-10-31 |
| 1396736351 | Heritage Manor Beardstown South, LLC | Durable Medical Equipment & Medical Supplies | 8306 Saint Lukes Dr, Beardstown, IL 62618-8384 | 2005-10-31 |
| 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 | ||||
| City | BEARDSTOWN |
| Zip Code | 62618 |
Please comment or provide details below to improve the information on HERITAGE MANOR - BEARDSTOWN SOUTH, LLC.
| 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.