Heritage Health - Normal

LBN: Heritage Manor Normal, Llc
Heritage Health - Normal is an health care organization with primary practice located at 509 N Adelaide St , Normal IL 61761-2422. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Oxygen Equipment & Supplies. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Heritage Manor Normal, Llc can be contacted via phone (309) 452-7468, or through Underwood, David M via phone (309) 823-7135.

Contact Information

Primary practice address
509 N Adelaide St Normal IL 61761-2422
Phone: (309) 452-7468
Fax: (309) 862-3148
Website:
Map and Directions
Authorized official contact:
Name: Underwood, David M
Phone: (309) 823-7135

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0038281 Illinois
Suppliers / Oxygen Equipment & Supplies 332BX2000X 0048082 Illinois

Profile Details

NPI number 1841281979
LBN Legal business name Heritage Manor Normal, Llc
DBA Doing business as Heritage Health - Normal
Authorized official Underwood, David M
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 28th, 2005
Last updated Jul 23rd, 2014 - about 12 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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