Organization · Type 2 NPI

Heritage Manor - Gibson City, LLC

Skilled Nursing Facility · Gibson City, IL

NPI number 1699765719 Active

Practice location

620 E 1st St
Gibson City, IL 60936-1822

Call (217) 784-4257 Map

Fax (217) 784-8279

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	48116 (IL)
Oxygen Equipment & Supplies (DME)	332BX2000X	0048116 (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…

9 other providers at this address

Other skilled nursing facility providers in Gibson City

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NPI record

NPI: 1699765719
Entity type: Organization (Type 2)
Issued: Oct 28, 2005
Last updated: Mar 21, 2022
Status: Active
Subpart: Yes of Heritage Enterprises, Inc

Other names

<unavail>
Heritage Health - Gibson City · doing business as
Heritage Health - Gibson City · doing business as

Authorized official

Mr. David M Underwood
Exec VP & CFO
(309) 828-4361

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699765719

Heritage Manor - Gibson City, LLC's National Provider Identifier is 1699765719, issued on Oct 28, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Gibson City, IL. The record was last updated on Mar 21, 2022.