Heritage Manor Streator, LLC
Heritage Manor Streator, LLC is an Occupational Therapy Assistant in Streator, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 7
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1525 E Main StStreator, IL 61364-3162
Phone: (815) 672-4516
Fax: (815) 672-5466
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 48066 (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) |
| Oxygen Equipment & Supplies (DME) | Taxonomy 332BX2000X · Licence 48066 (IL) |
Record details
| NPI number | 1346230471 |
|---|---|
| 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 - Streator |
| 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 Streator
-
Nicole Marie Griner
1525 E Main St, Streator, IL 61364-3100 · (815) 672-4516
-
Karly Rae Rosencrans
516 W French St, Streator, IL 61364 · (815) 672-2600
-
Tori Kay Sampson
516 W Frech St, Streator, IL 61364-1216 · (815) 672-2600