HERITAGE HEALTH
NPI 1013251727
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Elgin, IL

Active since November 19, 2012CLIA 14D0721177 · Waiver
355 RAYMOND ST, ELGIN, IL 60120(847) 697-6636(847) 742-6151 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE HEALTH (NPI 1013251727) is a healthcare organization registered as an oxygen equipment & supplies in Elgin, Illinois and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David Underwood, Exec Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013251727
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameHERITAGE MANOR - ELGIN, LLC
Location Address355 RAYMOND STElgin, IL 60120-7875
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-5477
Fax(847) 742-6151
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid UnderwoodExec Vp, Cfo · (309) 823-7139
Enumeration DateNovember 19, 2012
Last NPPES UpdateOctober 18, 2016
NPI 1013251727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

355 RAYMOND ST, Elgin, IL 60120

Other Names 1

Doing Business AsHeritage Health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0721177

Heritage Health (gillespie) · Gillespie, IL
Active · expires Aug 31, 2026
CLIA Number14D0721177
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKimberly Schardan
Laboratory Phone(309) 823-7139
Laboratory LocationHeritage Health (gillespie)7588 Staunton Road, Gillespie, IL 62033
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
355 RAYMOND ST
ELGIN, IL 60120
Skilled Nursing Facility
355 RAYMOND ST
ELGIN, IL 60120
Skilled Nursing Facility
355 RAYMOND ST
ELGIN, IL 60120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Manor - Elgin, LLC's NPI number?

The NPI number for Heritage Manor - Elgin, LLC is 1013251727. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Heritage Health.

Where is Heritage Manor - Elgin, LLC located?

Heritage Manor - Elgin, LLC is located at 355 Raymond St, Elgin, IL 60120. The listed phone number is (847) 697-6636.

What is Heritage Manor - Elgin, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

Does Heritage Manor - Elgin, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0721177) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heritage Manor - Elgin, LLC was last updated on October 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.