HERITAGE HEALTH - STREATOR
NPI 1346230471
Skilled Nursing Facility in Streator, IL

Active since October 28, 2005
1525 E MAIN ST, STREATOR, IL 61364(815) 672-4516(815) 672-5466 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Health - Streator NPPES

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

HERITAGE HEALTH - STREATOR (NPI 1346230471) is a healthcare organization registered as a skilled nursing facility in Streator, Illinois and active in the NPI registry since October 2005. The organization lists David M Underwood, Sr. Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1346230471
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE MANOR STREATOR, LLC
Location Address1525 E MAIN STStreator, IL 61364-3162
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-9512
Fax(815) 672-5466
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid M UnderwoodSr. Vp & Cfo · (309) 828-4361
Enumeration DateOctober 28, 2005
Last NPPES UpdateMay 27, 2014
NPI 1346230471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 48066
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
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 48066 (IL)
1525 E MAIN ST, Streator, IL 61364

Other Names 1

Doing Business AsHeritage Health - Streator

Other Identifiers 3

Other=========-801IL · Medicaid Oxygen Provider
Medicaid=========001IL
Medicare OSCAR/certification145062IL

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 16

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

Occupational Therapy Assistant
1525 E MAIN ST
STREATOR, IL 61364
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1525 E MAIN ST
STREATOR, IL 61364
Physical Therapy Assistant
1525 E MAIN ST
STREATOR, IL 61364
Skilled Nursing Facility
1525 E MAIN ST
STREATOR, IL 61364
Physical Medicine & Rehabilitation
1525 E MAIN ST
STREATOR, IL 61364
Physical Therapist
1525 E MAIN ST
STREATOR, IL 61364
Physical Therapy Assistant
1525 E MAIN ST
STREATOR, IL 61364
Occupational Therapist
1525 E MAIN ST
STREATOR, IL 61364

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, LLC's NPI number?

The NPI number for Heritage Manor Streator, LLC is 1346230471. It was assigned to this organization in the NPPES registry on October 28, 2005. The provider is doing business as Heritage Health - Streator.

Where is Heritage Manor Streator, LLC located?

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

What is Heritage Manor Streator, 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 Streator, 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.