Organization · Type 2 NPI

Heritage Manor Bloomington, LLC

Skilled Nursing Facility · Bloomington, IL

NPI number 1457343170 Active

Practice location

700 E Walnut St
Bloomington, IL 61701-3244

Call (309) 827-8004 Map

Fax (309) 827-0256

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XNone listed
Geriatric Physical Therapist 2251G0304XNone listed
Physical Therapy Assistant 225200000XNone listed
Physical Rehabilitation Occupational Therapist 225XP0019XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Skilled Nursing Facility Primary 314000000X48157 (IL)
Oxygen Equipment & Supplies (DME) 332BX2000X48157 (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 1457343170

Heritage Manor Bloomington, LLC's National Provider Identifier is 1457343170, issued on Aug 18, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bloomington, IL. The record was last updated on May 27, 2014.