HERITAGE HEALTH - STAUNTON
NPI 1629069331
Skilled Nursing Facility in Staunton, IL

Active since November 02, 2005
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 09, 2026.

About Heritage Health - Staunton NPPES

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

HERITAGE HEALTH - STAUNTON (NPI 1629069331) is a healthcare organization registered as a skilled nursing facility in Staunton, Illinois and active in the NPI registry since November 2005. The organization lists David M Underwood, Sr. Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1629069331
Entity TypeOrganization
Primary Taxonomy314000000X
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) 829-9512
Fax(618) 635-5580
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid M UnderwoodSr. Vp & Cfo · (309) 828-4361
Enumeration DateNovember 2, 2005
Last NPPES UpdateApril 4, 2016
NPI 1629069331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 0048876
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.
215 W PENNSYLVANIA ST, Staunton, IL 62088

Other Names 1

Doing Business AsHeritage Health - Staunton

Other Identifiers 2

Other=========-801IL · Medicaid Oxygen Provider
Medicare OSCAR/certification145286IL

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.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
215 W PENNSYLVANIA ST
STAUNTON, IL 62088
Skilled Nursing Facility
215 W PENNSYLVANIA ST
STAUNTON, IL 62088
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
215 W PENNSYLVANIA ST
STAUNTON, IL 62088

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 1629069331. It was assigned to this organization in the NPPES registry on November 2, 2005. The provider is doing business as Heritage Health - Staunton.

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 Skilled Nursing Facility with taxonomy code 314000000X.

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.