HERITAGE HEALTH - BLOOMINGTON
NPI 1457343170
Skilled Nursing Facility in Bloomington, IL

Active since August 18, 2005
700 E WALNUT ST, BLOOMINGTON, IL 61701(309) 827-8004(309) 827-0256 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Health - Bloomington NPPES

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

HERITAGE HEALTH - BLOOMINGTON (NPI 1457343170) is a healthcare organization registered as a skilled nursing facility in Bloomington, Illinois and active in the NPI registry since August 2005. The organization lists David M Underwood, Sr. Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1457343170
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE MANOR BLOOMINGTON, LLC
Location Address700 E WALNUT STBloomington, IL 61701-3244
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-5477
Fax(309) 827-0256
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid M UnderwoodSr. Vp & Cfo · (309) 828-4361
Enumeration DateAugust 18, 2005
Last NPPES UpdateMay 27, 2014
NPI 1457343170 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 · 48157
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 48157 (IL)
700 E WALNUT ST, Bloomington, IL 61701

Other Names 1

Doing Business AsHeritage Health - Bloomington

Other Identifiers 3

Other=========-801IL · Medicaid Oxygen Provider
Medicaid=========-001IL
Medicare OSCAR/certification145016IL

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 19

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

Occupational Therapy Assistant
700 E WALNUT ST
BLOOMINGTON, IL 61701
Clinic/Center (Physical Therapy)
700 E WALNUT ST
BLOOMINGTON, IL 61701
Physical Therapy Assistant
700 E WALNUT ST
BLOOMINGTON, IL 61701
Internal Medicine
700 E WALNUT ST
BLOOMINGTON, IL 61701
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
700 E WALNUT ST
BLOOMINGTON, IL 61701
Occupational Therapy Assistant
700 E WALNUT ST
BLOOMINGTON, IL 61701
Physical Therapy Assistant
700 E WALNUT ST
BLOOMINGTON, IL 61701
Skilled Nursing Facility
700 E WALNUT ST
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 Bloomington, LLC's NPI number?

The NPI number for Heritage Manor Bloomington, LLC is 1457343170. It was assigned to this organization in the NPPES registry on August 18, 2005. The provider is doing business as Heritage Health - Bloomington.

Where is Heritage Manor Bloomington, LLC located?

Heritage Manor Bloomington, LLC is located at 700 E Walnut St, Bloomington, IL 61701. The listed phone number is (309) 827-8004.

What is Heritage Manor Bloomington, 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 Bloomington, LLC was last updated on May 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.