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HERITAGE WOODS OF MANTENO
NPI 1437329828
Assisted Living Facility in Manteno, IL

Active since March 03, 2008CLIA 14D2200055 · Waiver
355 DIVERSATECH DR, MANTENO, IL 60950(815) 468-3553(815) 468-3888 Get Directions Write a Review

NPPES record last updated: March 3, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Heritage Woods Of Manteno NPPES

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

HERITAGE WOODS OF MANTENO (NPI 1437329828) is a healthcare organization registered as an assisted living facility in Manteno, Illinois and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists William M Daughtery, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1437329828
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameDSI MANTENO OPERATOR LLC
Location Address355 DIVERSATECH DRManteno, IL 60950-9274
Mailing Address355 Diversatech DrManteno, IL 60950-9274 · (815) 468-3553 · Fax (815) 468-3888
Phone(815) 468-3553
Fax(815) 468-3888
Organization SubpartNo
Authorized OfficialWilliam M DaughteryManaging Member · (815) 932-1992
Enumeration DateMarch 3, 2008
✔ NPI 1437329828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
355 DIVERSATECH DR, Manteno, IL 60950
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Other Names 1

Doing Business AsHeritage Woods Of Manteno

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2200055

Heritage Woods Of Manteno · Manteno, IL
Active · expires Nov 12, 2026
CLIA Number14D2200055
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorBeverly K. Fetherling
Laboratory Phone(815) 468-3553
Laboratory LocationHeritage Woods Of Manteno355 Diversatech Drive, Manteno, IL 60950
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MAEVE HOULIHAN
Speech-Language Pathologist
355 DIVERSATECH DR
MANTENO, IL 60950
Kankakee County (815) 468-3553
HERITAGE WOODS WATSEKA/MANTENO
Assisted Living Facility
355 DIVERSATECH DR
MANTENO, IL 60950
Kankakee County (815) 468-3553

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 Dsi Manteno Operator LLC's NPI number?

The NPI number for Dsi Manteno Operator LLC is 1437329828. It was assigned to this organization in the NPPES registry on March 3, 2008. The provider is doing business as Heritage Woods Of Manteno.

Where is Dsi Manteno Operator LLC located?

Dsi Manteno Operator LLC is located at 355 Diversatech Dr, Manteno, IL 60950. The listed phone number is (815) 468-3553.

What is Dsi Manteno Operator LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Dsi Manteno Operator LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2200055) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dsi Manteno Operator LLC was last updated on March 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.