HERITAGE HEALTH - EL PASO
NPI 1093706137
Skilled Nursing Facility in El Paso, IL

Active since October 28, 2005
555 E CLAY ST, EL PASO, IL 61738(309) 527-6240(309) 527-6243 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Health - El Paso NPPES

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

HERITAGE HEALTH - EL PASO (NPI 1093706137) is a healthcare organization registered as a skilled nursing facility in El Paso, Illinois and active in the NPI registry since October 2005. The organization lists David M Underwood, Sr. Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1093706137
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE MANOR - EL PASO, LLC
Location Address555 E CLAY STEl Paso, IL 61738-1508
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-9512
Fax(309) 527-6243
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid M UnderwoodSr. Vp & Cfo · (309) 828-4361
Enumeration DateOctober 28, 2005
Last NPPES UpdateApril 6, 2022
NPPES CertifiedApril 6, 2022
NPI 1093706137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 48124
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.
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 0048124 (IL)
555 E CLAY ST, El Paso, IL 61738

Other Names 1

Doing Business AsHeritage Health - El Paso

Other Identifiers 1

Other2039003447-801IL · Medicaid Oxygen Provider

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
555 E CLAY ST
EL PASO, IL 61738
Durable Medical Equipment & Medical Supplies
555 E CLAY ST
EL PASO, IL 61738
Occupational Therapist
555 E CLAY ST
EL PASO, IL 61738
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
555 E CLAY ST
EL PASO, IL 61738

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 - El Paso, LLC's NPI number?

The NPI number for Heritage Manor - El Paso, LLC is 1093706137. It was assigned to this organization in the NPPES registry on October 28, 2005. The provider is doing business as Heritage Health - El Paso.

Where is Heritage Manor - El Paso, LLC located?

Heritage Manor - El Paso, LLC is located at 555 E Clay St, El Paso, IL 61738. The listed phone number is (309) 527-6240.

What is Heritage Manor - El Paso, LLC'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 Heritage Manor - El Paso, LLC was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.