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

Heritage Manor Staunton LLC

Organization Skilled Nursing Facility · NPI 1629069331

Heritage Manor Staunton LLC is a Skilled Nursing Facility in Staunton, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
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

215 W Pennsylvania St
Staunton, IL 62088-1127
Phone: (618) 635-5577
Fax: (618) 635-5580
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 0048876 (IL)

Record details

NPI number1629069331
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHeritage Enterprises, Inc
Authorized official David Underwood — Sr. Vp & Cfo · (309) 828-4361
Other names Heritage Health - Staunton
NPI enumeratedNovember 2, 2005
Last updated in NPPESApril 4, 2016
Mailing address115 W Jefferson St, Suite 401, Bloomington, IL 61701-3946

Other providers in Staunton