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

Heritage Manor - Lasalle, LLC

Organization Oxygen Equipment & Supplies (DME) · NPI 1366786444

Heritage Manor - Lasalle, LLC is an Oxygen Equipment & Supplies (DME) in Bloomington, Illinois. Registered with an NPI since 2012.

In the registry since
2012
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

115 W Jefferson St Ste 401
Bloomington, IL 61701-3946
Phone: (309) 828-4361
Fax: (309) 829-5477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oxygen Equipment & Supplies (DME) (primary) Taxonomy 332BX2000X

Record details

NPI number1366786444
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHeritage Enterprises, Inc
Authorized official Craig Ater — Exec Vp · (309) 823-7135
Other names Heritage Health
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address1445 Chartres St, La Salle, IL 61301-1508

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