Organization · Type 2 NPI
Heritage Manor Mendota, LLC
Skilled Nursing Facility · Mendota, IL
Practice location
1201 1st Ave
Mendota, IL 61342-1815
Fax (815) 538-2017
Mailing address
115 W Jefferson St, Suite 401
Bloomington, IL 61701-3946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 48108 (IL) |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0048108 (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…
5 other providers at this address
- Allure of Mendota, LLCSkilled Nursing Facility Mendota, IL NPI 1053007443
- Allure of Mendota, LLCOxygen Equipment & Supplies (DME) Mendota, IL NPI 1376237933
- Heritage Manor - Mendota, LLCOxygen Equipment & Supplies (DME) Mendota, IL NPI 1982948683
- Joshua Chase Humphrey, O.T.R.Occupational Therapist Mendota, IL NPI 1326239492
- Tamara Marie Morris, COTAOccupational Therapy Assistant Mendota, IL NPI 1265046213
Other skilled nursing facility providers in Mendota
About NPI 1871583906
Heritage Manor Mendota, LLC's National Provider Identifier is 1871583906, issued on Oct 28, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Mendota, IL. The record was last updated on May 27, 2014.