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HERITAGE HEALTH
NPI 1164766861
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Peru, IL

Active since November 19, 2012
1301 21ST ST, PERU, IL 61354(815) 223-4901(815) 224-2497 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 18, 2022, Oct 18, 2016 (2 updates tracked since 2016).

About Heritage Health NPPES

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

HERITAGE HEALTH (NPI 1164766861) is a healthcare organization registered as an oxygen equipment & supplies in Peru, Illinois and active in the NPI registry since November 2012. The organization lists David Underwood, Exec Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164766861
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameHERITAGE MANOR - PERU, LLC
Location Address1301 21ST STPeru, IL 61354-1359
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-5477
Phone(815) 223-4901
Fax(815) 224-2497
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid UnderwoodExec Vp, Cfo · (309) 823-7135
Enumeration DateNovember 19, 2012
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1164766861 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
1301 21ST ST, Peru, IL 61354
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Other Names 1

Doing Business AsHeritage Health

Other Providers at the Same Location NPPES 7

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

HERITAGE MANOR - PERU, LLC
Skilled Nursing Facility
1301 21ST ST
PERU, IL 61354
Lasalle County (815) 223-4901
TRICIA TONARELLI
Physical Therapy Assistant
1301 21ST ST
PERU, IL 61354
Lasalle County (815) 223-4901
ALLURE OF PERU, LLC
Skilled Nursing Facility
1301 21ST ST
PERU, IL 61354
Lasalle County (815) 223-4901
MRS. NICOLE LAVANWAY COTA
Occupational Therapy Assistant
1301 21ST ST
PERU, IL 61354
Lasalle County (815) 223-4901
VANESSA LANGGUTH PTA
Physical Therapy Assistant
1301 21ST ST
PERU, IL 61354
Lasalle County (815) 223-4901
MR. DELINARD SIBBALUCA
Physical Therapist
1301 21ST ST
PERU, IL 61354
Lasalle County (815) 223-4901
ALLURE OF PERU, LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1301 21ST ST
PERU, IL 61354
Lasalle County (815) 223-4901

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 - Peru, LLC's NPI number?

The NPI number for Heritage Manor - Peru, LLC is 1164766861. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Heritage Health.

Where is Heritage Manor - Peru, LLC located?

Heritage Manor - Peru, LLC is located at 1301 21st St, Peru, IL 61354. The listed phone number is (815) 223-4901.

What is Heritage Manor - Peru, LLC'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 - Peru, LLC was last updated on April 18, 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.