HERITAGE HEALTH - PANA
NPI 1104817816
Skilled Nursing Facility in Pana, IL
About Heritage Health - Pana NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERITAGE HEALTH - PANA (NPI 1104817816) is a healthcare organization registered as a skilled nursing facility in Pana, Illinois and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David M Underwood, Sr. Vp & Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
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 14D0721179
Heritage Health - Pana · Pana, ILOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PANA, IL 62557
PANA, IL 62557
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 Pana, LLC's NPI number?
The NPI number for Heritage Manor Pana, LLC is 1104817816. It was assigned to this organization in the NPPES registry on November 2, 2005. The provider is doing business as Heritage Health - Pana.
Where is Heritage Manor Pana, LLC located?
Heritage Manor Pana, LLC is located at 1000 E 6th St, Pana, IL 62557. The listed phone number is (217) 562-2174.
What is Heritage Manor Pana, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Heritage Manor Pana, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0721179) 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 Pana, LLC was last updated on May 27, 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.