HERITAGE MANOR - WALNUT, LLC (NPI# 1861483307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861483307 |
| Entity Type | Organization |
| Organization Name | HERITAGE MANOR - WALNUT, LLC |
| Other Organization Name | HERITAGE HEALTH |
| Practice Address |
308 S 2nd St Walnut IL 61376-9363 |
| Mailing Address |
115 W Jefferson St Suite 401 Bloomington IL 61701-3946 |
| Practice Telephone | 8153792131 |
| Practice Fax Number | 8153792235 |
| Mailing Telephone | 3098284361 |
| Mailing Fax Number | 3098295477 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | MR. DAVID M UNDERWOOD (SR. VP & CFO) |
| Authorized Official Telephone | 3098237135 |
| Is Organization Subpart | Y |
| Parent Organization Name | HERITAGE ENTERPRISES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0015784 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Heritage Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417201963 | Heritage Manor - Walnut, LLC | Durable Medical Equipment & Medical Supplies | 308 S 2nd St, Walnut, IL 61376-9364 | 2012-11-06 |
| Street Address |
308 S 2ND ST |
| City | WALNUT |
| State | IL |
| Zip Code | 61376-9363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005654 | Aspen Quadri | Occupational Therapy Assistant | 308 S 2nd St, Walnut, IL 61376-9364 | 2018-12-21 |
| 1700351814 | Katie C Edwards | Occupational Therapy Assistant | 308 S 2nd St, Walnut, IL 61376-9364 | 2018-10-05 |
| 1417201963 | Heritage Manor - Walnut, LLC | Durable Medical Equipment & Medical Supplies | 308 S 2nd St, Walnut, IL 61376-9364 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588707095 | Dean A. Hulsing PC | Chiropractor | 405 W. North Street, Walnut, IL 61376 | 2007-02-14 |
| 1083764880 | Walnut Fire Department Inc | Ambulance | 115 Liberty Street, Walnut, IL 61376 | 2007-01-12 |
| 1730108002 | Dean A Hulsing | Chiropractor | 405 W North Street, Walnut, IL 61376 | 2006-07-18 |
| 1407806953 | Linda L Grant | Nurse Practitioner | 131 East Jackson Street, Walnut, IL 61376 | 2006-05-12 |
| 1467640292 | Carolyn Jean Gale | Physician Assistant | 101 N Main St, Walnut, IL 61376 | 2007-10-05 |
| 1467687525 | Walnut Fire Protection District | Ambulance | 122 E Jackson Street, Walnut, IL 61376-0523 | 2009-05-19 |
| 1508069717 | Daniel B Fuertges | Dentist | 101 N Main St, Walnut, IL 61376-0624 | 2007-06-06 |
| 1528107471 | Heidi Allison Wilken Wallace | Social Worker | 27566 1375 East St, Walnut, IL 61376-9528 | 2007-02-06 |
| 1033649967 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 105 N Main St Ste 1, Walnut, IL 61376-9707 | 2017-06-13 |
| 1043786338 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 105 N Main St Ste 1, Walnut, IL 61376-9707 | 2018-10-15 |
| Find all providers in zip 61376 | ||||
| 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. |
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|---|---|---|---|---|
| 1902413537 | Citadel of Glenview LLC | Skilled Nursing Facility | 1700 E Lake Ave, Glenview, IL 60025-2003 | 2020-09-28 |
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| 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.