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HERITAGE HEALTH
NPI 1538403241
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Staunton, IL

Active since November 19, 2012CLIA 14D0721180 · Waiver
215 W PENNSYLVANIA ST, STAUNTON, IL 62088(618) 635-5577(618) 635-5580 Get Directions Write a Review

NPPES record last updated: April 4, 2016. 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 1538403241) is a healthcare organization registered as an oxygen equipment & supplies in Staunton, Illinois and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David M Underwood, Senior Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1538403241
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameHERITAGE MANOR - STAUNTON, LLC
Location Address215 W PENNSYLVANIA STStaunton, IL 62088-1127
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-5477
Phone(618) 635-5577
Fax(618) 635-5580
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid M UnderwoodSenior Vp, Cfo · (309) 823-7135
Enumeration DateNovember 19, 2012
Last NPPES UpdateApril 4, 2016
✔ NPI 1538403241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
215 W PENNSYLVANIA ST, Staunton, IL 62088
Open in Google Maps ↗

Other Names 1

Doing Business AsHeritage Health

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 14D0721180

Heritage Manor - Staunton LLC · Staunton, IL
Active · expires Aug 31, 2026
CLIA Number14D0721180
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJoann Newell
Laboratory Phone(618) 635-5577
Laboratory LocationHeritage Manor - Staunton LLC215 West Pennsylvania, Staunton, IL 62088
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 3

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

STAUNTON HEALTH AND REHAB CENTER LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
215 W PENNSYLVANIA ST
STAUNTON, IL 62088
Macoupin County (618) 635-5577
STAUNTON HEALTH AND REHAB CENTER LLC
Skilled Nursing Facility
215 W PENNSYLVANIA ST
STAUNTON, IL 62088
Macoupin County (618) 635-5577
HERITAGE MANOR STAUNTON LLC
Skilled Nursing Facility
215 W PENNSYLVANIA ST
STAUNTON, IL 62088
Macoupin County (618) 635-5577

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 - Staunton, LLC's NPI number?

The NPI number for Heritage Manor - Staunton, LLC is 1538403241. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Heritage Health.

Where is Heritage Manor - Staunton, LLC located?

Heritage Manor - Staunton, LLC is located at 215 W Pennsylvania St, Staunton, IL 62088. The listed phone number is (618) 635-5577.

What is Heritage Manor - Staunton, 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.

Does Heritage Manor - Staunton, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0721180) is associated with this NPI, valid through August 31, 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 Heritage Manor - Staunton, LLC was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.