Heritage Manor Mendota, LLC
Heritage Manor Mendota, LLC is a Skilled Nursing Facility in Mendota, 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
1201 1st AveMendota, IL 61342-1815
Phone: (815) 539-6745
Fax: (815) 538-2017
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 48108 (IL) |
|---|---|
| Oxygen Equipment & Supplies (DME) | Taxonomy 332BX2000X · Licence 0048108 (IL) |
Record details
| NPI number | 1871583906 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Heritage Enterprises, Inc |
| Authorized official | David Underwood — Sr. Vp & Cfo · (309) 828-4361 |
| Other names | Heritage Health - Mendota |
| NPI enumerated | October 28, 2005 |
| Last updated in NPPES | May 27, 2014 |
| Mailing address | 115 W Jefferson St, Suite 401, Bloomington, IL 61701-3946 |
Other providers in Mendota
-
Allure of Mendota, LLC
1201 1st Ave, Mendota, IL 61342-1815 · (815) 539-6745