Organization · Type 2 NPI

Heritage Enterprises, Inc.

Assisted Living Facility · Beardstown, IL

NPI number 1710156609 Active

Practice location

8570 Saint Lukes Dr
Beardstown, IL 62618-9200

Call (217) 323-4055 Map

Fax (217) 323-9454

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	1825445 (IL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3 other providers at this address

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NPI record

NPI: 1710156609
Entity type: Organization (Type 2)
Issued: Feb 25, 2008
Last updated: Apr 20, 2008
Status: Active
Subpart: Yes of Heritage Manor - Beardstown South

Other names

<unavail>
Evergreen Place Supportive Living Facility · doing business as

Authorized official

Mr. Craig L Ater
Senior V. P. of Finance
(309) 823-7135

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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 1710156609

Heritage Enterprises, Inc.'s National Provider Identifier is 1710156609, issued on Feb 25, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Beardstown, IL. The record was last updated on Apr 20, 2008.