HERITAGE HEALTH
NPI 1417201963
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Walnut, IL

Active since November 06, 2012
308 S 2ND ST, WALNUT, IL 61376(815) 379-2131(815) 379-2235 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Health NPPES

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

HERITAGE HEALTH (NPI 1417201963) is a healthcare organization registered as an oxygen equipment & supplies in Walnut, 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

NPI1417201963
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameHERITAGE MANOR - WALNUT, LLC
Location Address308 S 2ND STWalnut, IL 61376-9364
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-5477
Fax(815) 379-2235
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid UnderwoodExec Vp, Cfo · (309) 823-7135
Enumeration DateNovember 6, 2012
Last NPPES UpdateOctober 18, 2016
NPI 1417201963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

308 S 2ND ST, Walnut, IL 61376

Other Names 1

Doing Business AsHeritage Health

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
308 S 2ND ST
WALNUT, IL 61376
Occupational Therapy Assistant
308 S 2ND ST
WALNUT, IL 61376
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
308 S 2ND ST
WALNUT, IL 61376
Occupational Therapy Assistant
308 S 2ND ST
WALNUT, IL 61376
Skilled Nursing Facility
308 S 2ND ST
WALNUT, IL 61376

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 - Walnut, LLC's NPI number?

The NPI number for Heritage Manor - Walnut, LLC is 1417201963. It was assigned to this organization in the NPPES registry on November 6, 2012. The provider is doing business as Heritage Health.

Where is Heritage Manor - Walnut, LLC located?

Heritage Manor - Walnut, LLC is located at 308 S 2nd St, Walnut, IL 61376. The listed phone number is (815) 379-2131.

What is Heritage Manor - Walnut, 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 - Walnut, LLC was last updated on October 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.