HERITAGE SQUARE
NPI 1083680672
Skilled Nursing Facility in Dixon, IL

Active since February 24, 2006
620 N OTTAWA, DIXON, IL 61021(815) 288-2251(815) 288-6821 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heritage Square NPPES

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

HERITAGE SQUARE (NPI 1083680672) is a healthcare organization registered as a skilled nursing facility in Dixon, Illinois and active in the NPI registry since February 2006. The organization lists Norman John Gross, Administration Long Term Care, as its authorized official.

NPPES Registry Identity

NPI1083680672
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDIXON PEOPLES HOME FUND INC
Location Address620 N OTTAWADixon, IL 61021
Mailing Address620 N OttawaDixon, IL 61021 · (815) 288-2251 · Fax (815) 288-6821
Fax(815) 288-6821
Organization SubpartNo
Authorized OfficialNorman John GrossAdministration Long Term Care · (815) 288-2251
Enumeration DateFebruary 24, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1083680672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 0018176
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
620 N OTTAWA, Dixon, IL 61021

Other Names 1

Doing Business AsHeritage Square

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 14D0889494

Heritage Square · Dixon, IL
Expired · Jul 28, 2026
CLIA Number14D0889494
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorJoseph P. Welty MD
Laboratory Phone(815) 288-2251
Laboratory LocationHeritage Square620 North Ottawa Avenue, Dixon, IL 61021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dixon Peoples Home Fund Inc's NPI number?

The NPI number for Dixon Peoples Home Fund Inc is 1083680672. It was assigned to this organization in the NPPES registry on February 24, 2006. The provider is doing business as Heritage Square.

Where is Dixon Peoples Home Fund Inc located?

Dixon Peoples Home Fund Inc is located at 620 N Ottawa, Dixon, IL 61021. The listed phone number is (815) 288-2251.

What is Dixon Peoples Home Fund Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Dixon Peoples Home Fund Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.