COLONIAL MANOR
NPI 1093706830
Skilled Nursing Facility in Danville, IL

Active since November 01, 2005
620 WARRINGTON AVE, DANVILLE, IL 61832(217) 446-0660(217) 446-9839 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colonial Manor NPPES

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

COLONIAL MANOR (NPI 1093706830) is a healthcare organization registered as a skilled nursing facility in Danville, Illinois and active in the NPI registry since November 2005. The organization lists David M Underwood, Senior V.p. & Cfo, as its authorized official.

NPPES Registry Identity

NPI1093706830
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE MANOR - DANVILLE, LLC
Location Address620 WARRINGTON AVEDanville, IL 61832-5446
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-9512
Fax(217) 446-9839
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid M UnderwoodSenior V.p. & Cfo · (309) 823-7135
Enumeration DateNovember 1, 2005
Last NPPES UpdateJanuary 29, 2016
NPI 1093706830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 0042168
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 ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
620 WARRINGTON AVE, Danville, IL 61832

Other Names 1

Doing Business AsColonial Manor

Other Identifiers 1

Medicare OSCAR/certification145183IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
620 WARRINGTON AVE
DANVILLE, IL 61832
Durable Medical Equipment & Medical Supplies
620 WARRINGTON AVE
DANVILLE, IL 61832
Occupational Therapy Assistant
620 WARRINGTON AVE
DANVILLE, IL 61832
Physical Therapy Assistant
620 WARRINGTON AVE
DANVILLE, IL 61832
Speech-Language Pathologist
620 WARRINGTON AVE
DANVILLE, IL 61832
Occupational Therapy Assistant
620 WARRINGTON AVE
DANVILLE, IL 61832
Physical Therapist
620 WARRINGTON AVE
DANVILLE, IL 61832
Skilled Nursing Facility
620 WARRINGTON AVE
DANVILLE, IL 61832

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 - Danville, LLC's NPI number?

The NPI number for Heritage Manor - Danville, LLC is 1093706830. It was assigned to this organization in the NPPES registry on November 1, 2005. The provider is doing business as Colonial Manor.

Where is Heritage Manor - Danville, LLC located?

Heritage Manor - Danville, LLC is located at 620 Warrington Ave, Danville, IL 61832. The listed phone number is (217) 446-0660.

What is Heritage Manor - Danville, 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 - Danville, LLC was last updated on January 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.