<Unavail>

LBN: Heritage Manor Streator, Llc
<Unavail> is an health care organization with primary practice located at 1525 E Main St , Streator IL 61364-3162. The organization recently has 7 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, 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 Streator, Llc can be contacted via phone (815) 672-4516, or through Underwood, David M via phone (309) 828-4361.

Contact Information

Primary practice address
1525 E Main St Streator IL 61364-3162
Phone: (815) 672-4516
Fax: (815) 672-5466
Website:
Map and Directions
Authorized official contact:
Name: Underwood, David M
Phone: (309) 828-4361

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 48066 Illinois
Suppliers / Oxygen Equipment & Supplies 332BX2000X 48066 Illinois

Profile Details

NPI number 1346230471
LBN Legal business name Heritage Manor Streator, Llc
DBA Doing business as <Unavail>
Authorized official Underwood, David M
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 28th, 2005
Last updated May 27th, 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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