Heritage Manor Minonk, LLC
Heritage Manor Minonk, LLC is an Occupational Therapy Assistant in Minonk, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 6
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
201 Locust StMinonk, IL 61760-1511
Phone: (309) 432-2557
Fax: (309) 432-3330
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 48058 (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) |
Record details
| NPI number | 1750372801 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Heritage Enterprises, Inc |
| Authorized official | David Underwood — Sr. V.P. & Cfo · (309) 823-7135 |
| Other names | Heritage Health - Minonk |
| NPI enumerated | October 28, 2005 |
| Last updated in NPPES | June 12, 2014 |
| Mailing address | 115 W Jefferson St, Suite 401, Bloomington, IL 61701-3946 |
Other providers in Minonk
-
Miss. Jordan Marie Baker, COTA/L
201 Locust St, Minonk, IL 61760-1511 · (309) 432-2557
-
Madena Whitesell, COTA
201 Locust St, Minonk, IL 61760-1511 · (309) 432-2557