HERITAGE ENTERPRISES, INC. (NPI# 1710156609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710156609 |
| Entity Type | Organization |
| Organization Name | HERITAGE ENTERPRISES, INC. |
| Other Organization Name | EVERGREEN PLACE SUPPORTIVE LIVING FACILITY |
| Practice Address |
8570 Saint Lukes Dr Beardstown IL 62618-9200 |
| Mailing Address |
115 W Jefferson St Suite 401 Bloomington IL 61701-3946 |
| Practice Telephone | 2173234055 |
| Practice Fax Number | 2173239454 |
| Mailing Telephone | 3098237155 |
| Mailing Fax Number | 3098299512 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. CRAIG L ATER (SENIOR V. P. OF FINANCE) |
| Authorized Official Telephone | 3098237135 |
| Is Organization Subpart | Y |
| Parent Organization Name | HERITAGE MANOR - BEARDSTOWN SOUTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 1825445 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Evergreen Place Supportive Living Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675488 | Heritage Enterprises, Inc. | Physical Therapist | 700 E Walnut St, Bloomington, IL 61701-3244 | 2005-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Heritage Enterprises, Inc. | 192 South St., Gastonia, NC 28052 |
| Massachusetts Corporations | HERITAGE ENTERPRISES, INC. | P.o. Box 53, Concord, MA 01742 |
| Washington State Corporations | HERITAGE ENTERPRISES, INC. | 9001 Pacific Ave, Tacoma, WA 98444 |
| Colorado Business Entities | HERITAGE ENTERPRISES, INC. | 11131 E. Nugget Drive, Desert Mountain, Painted Sky, Scottsdale, AZ 85262 |
| Indiana Business Entities | HERITAGE ENTERPRISES, INC. | Po Box 100, Stanford, IN 47463 |
| Street Address |
8570 SAINT LUKES DR |
| City | BEARDSTOWN |
| State | IL |
| Zip Code | 62618-9200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699937 | Emily Hall | Occupational Therapy Assistant | 8570 Saint Lukes Dr, Beardstown, IL 62618-9200 | 2020-08-11 |
| 1063974418 | Evergreen Place Beardstown LLC | Assisted Living Facility | 8570 Saint Lukes Dr, Beardstown, IL 62618-9200 | 2019-04-04 |
| 1720401557 | Rachel Merideth | Physical Therapist | 8570 Saint Lukes Dr, Beardstown, IL 62618-9200 | 2014-01-30 |
| 1942439310 | Cass County Public Health Dept | Clinic/Center | 8570 Saint Lukes Dr, Beardstown, IL 62618-9200 | 2009-07-07 |
| 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 | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063974418 | Evergreen Place Beardstown LLC | Assisted Living Facility | 8570 Saint Lukes Dr, Beardstown, IL 62618-9200 | 2019-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190504 | The Manor At Jerseyville Glen, Lp | Assisted Living Facility | 904b Estates Dr, Jerseyville, IL 62052-2377 | 2020-10-06 |
| 1861008872 | Franciscan Communities, Inc. | Assisted Living Facility | 15624 Marian Dr, Homer Glen, IL 60491-6271 | 2020-09-16 |
| 1447865118 | Oakley Courts Assisted Living Community | Assisted Living Facility | 3117 W Kunkle Blvd, Freeport, IL 61032-6943 | 2020-09-10 |
| 1083233076 | Marley Oaks Assisted Living Residence | Assisted Living Facility | 12631 187th St, Mokena, IL 60448-8731 | 2020-04-10 |
| 1447884630 | Cedarhurst of Quincy Operator, LLC | Assisted Living Facility | 319 S 48th St, Quincy, IL 62305-0593 | 2020-02-26 |
| 1164055323 | Cye Sullivan Hco, LLC | Assisted Living Facility | 20 Courtyard Blvd, Sullivan, IL 61951-7001 | 2020-02-17 |
| 1255964573 | Cottages At Salem, Inc. | Assisted Living Facility | 339 S Hotze Rd, Salem, IL 62881-6858 | 2020-02-14 |
| 1841821014 | Generations At Oakton Arms, LLC | Assisted Living Facility | 1665 Oakton Pl, Des Plaines, IL 60018-6301 | 2020-01-28 |
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
| City | BEARDSTOWN |
| Zip Code | 62618 |
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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.