Organization · Type 2 NPI

Heritage Manor Pana, LLC

Skilled Nursing Facility · Pana, IL

NPI number 1104817816 Active

Practice location

1000 E 6th St
Pana, IL 62557-1870

Fax (217) 562-7242

Mailing address

115 W Jefferson St, Suite 401
Bloomington, IL 61701-3946

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X0048884 (IL)
Oxygen Equipment & Supplies (DME) 332BX2000X0048884 (IL)

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 r…

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About NPI 1104817816

Heritage Manor Pana, LLC's National Provider Identifier is 1104817816, issued on Nov 2, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Pana, IL. The record was last updated on May 27, 2014.