Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heritage Manor Bloomington, LLC

Organization Occupational Therapy Assistant · NPI 1457343170

Heritage Manor Bloomington, LLC is an Occupational Therapy Assistant in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 E Walnut St
Bloomington, IL 61701-3244
Phone: (309) 827-8004
Fax: (309) 827-0256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 48157 (IL)
Occupational Therapy Assistant Taxonomy 224Z00000X (IL)
Geriatric Physical Therapist Taxonomy 2251G0304X (IL)
Physical Therapy Assistant Taxonomy 225200000X (IL)
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X (IL)
Speech-Language Pathologist Taxonomy 235Z00000X (IL)
Oxygen Equipment & Supplies (DME) Taxonomy 332BX2000X · Licence 48157 (IL)

Record details

NPI number1457343170
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHeritage Enterprises, Inc
Authorized official David Underwood — Sr. Vp & Cfo · (309) 828-4361
Other names Heritage Health - Bloomington
NPI enumeratedAugust 18, 2005
Last updated in NPPESMay 27, 2014
Mailing address115 W Jefferson St, Suite 401, Bloomington, IL 61701-3946

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