HERITAGE HEALTH - PANA
NPI 1104817816
Skilled Nursing Facility in Pana, IL

NPI Status: Active since November 02, 2005

Contact Information

1000 E 6TH ST
PANA, IL
ZIP 62557
Phone: (217) 562-2174
Fax: (217) 562-7242

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  • Organization
  • Skilled Nursing Facility

About HERITAGE HEALTH - PANA

This page provides the complete NPI Profile along with additional information for Heritage Health - Pana, a provider established in Pana, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1104817816 assigned on November 2005. The practitioner's primary taxonomy code is 314000000X with license number 0048884 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Heritage Health - Pana. The authorized official of this NPI record is Mr. David M Underwood (Sr. Vp & Cfo)

NPI
1104817816
Provider Legal Name
HERITAGE MANOR PANA, LLC
Other Organization Name
HERITAGE HEALTH - PANA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1000 E 6TH ST PANA, IL 62557
Location Phone
(217) 562-2174
Location Fax
(217) 562-7242
Mailing Address
115 W JEFFERSON ST SUITE 401 BLOOMINGTON, IL 61701
Mailing Phone
(309) 828-4361
Mailing Fax
(217) 562-7242
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-02-2005
Last Update Date
05-27-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
0048884
License State
IL
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BX2000XSuppliers

Durable Medical Equipment & Medical Supplies
Oxygen Equipment & Supplies

0048884 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID M UNDERWOOD

Authorized Official Title
SR. VP & CFO
Authorized Official Phone
(309) 828-4361

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========001MEDICAID (05)IL 
=========-801OTHER (01)ILMEDICAID OXYGEN PROVIDER
145267MEDICARE OSCAR/CERTIFICATION (06)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104817816, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 6 + 1 + 1 + 4 + 8 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1104817816.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1000 E 6TH ST
PANA, IL 62557
Occupational Therapy Assistant
1000 E 6TH ST
PANA, IL 62557
Skilled Nursing Facility
1000 E 6TH ST
PANA, IL 62557
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1000 E 6TH ST
PANA, IL 62557

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104817816, enumerated as an "organization" on November 02, 2005.

The provider is located at 1000 E 6TH ST PANA, IL 62557 and the phone number is (217) 562-2174.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.