HERITAGE HEALTH
NPI 1366786444
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Bloomington, IL

Active since November 15, 2012
115 W JEFFERSON ST, SUITE 401, BLOOMINGTON, IL 61701(309) 828-4361(309) 829-5477 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Health NPPES

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

HERITAGE HEALTH (NPI 1366786444) is a healthcare organization registered as an oxygen equipment & supplies in Bloomington, Illinois and active in the NPI registry since November 2012. The organization lists Craig L Ater, Exec Vp, as its authorized official.

NPPES Registry Identity

NPI1366786444
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameHERITAGE MANOR - LASALLE, LLC
Location Address115 W JEFFERSON ST, SUITE 401Bloomington, IL 61701-3946
Mailing Address1445 Chartres StLa Salle, IL 61301-1508 · (815) 223-4700 · Fax (815) 223-4708
Fax(309) 829-5477
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialCraig L AterExec Vp · (309) 823-7135
Enumeration DateNovember 15, 2012
NPI 1366786444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

115 W JEFFERSON ST, Bloomington, IL 61701

Other Names 1

Doing Business AsHeritage Health

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Gerontology)
115 W JEFFERSON ST, SUITE 401
BLOOMINGTON, IL 61701

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 - Lasalle, LLC's NPI number?

The NPI number for Heritage Manor - Lasalle, LLC is 1366786444. It was assigned to this organization in the NPPES registry on November 15, 2012. The provider is doing business as Heritage Health.

Where is Heritage Manor - Lasalle, LLC located?

Heritage Manor - Lasalle, LLC is located at 115 W Jefferson St Suite 401, Bloomington, IL 61701. The listed phone number is (309) 828-4361.

What is Heritage Manor - Lasalle, 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 - Lasalle, LLC was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.