Evergreen Place Supportive Living Facility
LBN: Heritage Enterprises, Inc.
Evergreen Place Supportive Living Facility is an health care organization with primary practice located at 8570 Saint Lukes Dr , Beardstown IL 62618-9200. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty.
Heritage Enterprises, Inc. can be contacted via phone (217) 323-4055, or through Ater, Craig L via phone (309) 823-7135.
Contact Information
Primary practice address
8570 Saint Lukes Dr
Beardstown IL 62618-9200
Phone: (217) 323-4055
Fax: (217) 323-9454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 1825445 | Illinois |
Profile Details
| NPI number | 1710156609 |
|---|---|
| LBN Legal business name | Heritage Enterprises, Inc. |
| DBA Doing business as | Evergreen Place Supportive Living Facility |
| Authorized official | Ater, Craig L |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 25th, 2008 |
| Last updated | Apr 20th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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