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HERITAGE HEALTH - STREATOR
NPI 1104160886
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Streator, IL

Active since November 19, 2012
1525 E MAIN ST, STREATOR, IL 61364(815) 672-4516(815) 672-5466 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heritage Health - Streator NPPES

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

HERITAGE HEALTH - STREATOR (NPI 1104160886) is a healthcare organization registered as an oxygen equipment & supplies in Streator, Illinois and active in the NPI registry since November 2012. The organization lists David M Underwood, Sr Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1104160886
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameHERITAGE MANOR - STREATOR
Location Address1525 E MAIN STStreator, IL 61364-3162
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-5477
Phone(815) 672-4516
Fax(815) 672-5466
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid M UnderwoodSr Vp & Cfo · (309) 823-7135
Enumeration DateNovember 19, 2012
Last NPPES UpdateApril 24, 2014
✔ NPI 1104160886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
1525 E MAIN ST, Streator, IL 61364
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Other Names 1

Doing Business AsHeritage Health - Streator

Other Providers at the Same Location NPPES 16

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

NICOLE MARIE GRINER
Occupational Therapy Assistant
1525 E MAIN ST
STREATOR, IL 61364
Lasalle County (815) 672-4516
DEBRA KOZSDIY
Physical Therapy Assistant
1525 E MAIN ST
STREATOR, IL 61364
Lasalle County (815) 672-4512
ARC AT STREATOR LLC
Skilled Nursing Facility
1525 E MAIN ST
STREATOR, IL 61364
Lasalle County (815) 672-4516
HERITAGE MANOR STREATOR, LLC
Skilled Nursing Facility
1525 E MAIN ST
STREATOR, IL 61364
Lasalle County (815) 672-4516
MS. PAMELA SUE OLIVERI-FOX COTA/L
Physical Medicine & Rehabilitation
1525 E MAIN ST
STREATOR, IL 61364
Lasalle County (815) 673-2467
MARIA IMAILIN AALA AGUILAR
Physical Therapist
1525 E MAIN ST
STREATOR, IL 61364
Lasalle County (815) 672-4516
SHERI WILKINSON
Physical Therapy Assistant
1525 E MAIN ST
STREATOR, IL 61364
Lasalle County (815) 673-2467
LEONARD KOKALJ
Occupational Therapist
1525 E MAIN ST
STREATOR, IL 61364
Lasalle County (815) 672-4516

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 - Streator's NPI number?

The NPI number for Heritage Manor - Streator is 1104160886. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Heritage Health - Streator.

Where is Heritage Manor - Streator located?

Heritage Manor - Streator is located at 1525 E Main St, Streator, IL 61364. The listed phone number is (815) 672-4516.

What is Heritage Manor - Streator's specialty?

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

When was this NPI record last updated?

The NPPES record for Heritage Manor - Streator was last updated on April 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.