Heritage Manor - Gibson City, LLC
Heritage Manor - Gibson City, LLC is a Skilled Nursing Facility in Gibson City, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
620 E 1st StGibson City, IL 60936-1822
Phone: (217) 784-4257
Fax: (217) 784-8279
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 48116 (IL) |
|---|---|
| Oxygen Equipment & Supplies (DME) | Taxonomy 332BX2000X · Licence 0048116 (IL) |
Record details
| NPI number | 1699765719 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Heritage Enterprises, Inc |
| Authorized official | David Underwood — Exec Vp & Cfo · (309) 828-4361 |
| Other names | Heritage Health - Gibson City; Heritage Health - Gibson City |
| NPI enumerated | October 28, 2005 |
| Last updated in NPPES | March 21, 2022 |
| Certification date | March 21, 2022 |
| Mailing address | 115 W Jefferson St, Suite 401, Bloomington, IL 61701-3946 |
Other providers in Gibson City
-
Accolade Healthcare of Gibson City, LLC
620 E 1st St, Gibson City, IL 60936-1822 · (217) 784-4257
-
Goldwater Care Gibson City LLC
620 E 1st St, Gibson City, IL 60936-1822 · (217) 784-4257