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HERITAGE HEALTH - DWIGHT
NPI 1679817316
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Dwight, IL

Active since November 19, 2012
300 E MAZON AVE, DWIGHT, IL 60420(815) 584-1240(815) 584-1267 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Health - Dwight NPPES

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

HERITAGE HEALTH - DWIGHT (NPI 1679817316) is a healthcare organization registered as an oxygen equipment & supplies in Dwight, 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

NPI1679817316
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameHERITAGE MANOR - DWIGHT, LLC
Location Address300 E MAZON AVEDwight, IL 60420-1104
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-5477
Phone(815) 584-1240
Fax(815) 584-1267
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid UnderwoodExec Vp, Cfo · (309) 823-7135
Enumeration DateNovember 19, 2012
Last NPPES UpdateSeptember 30, 2016
✔ NPI 1679817316 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
300 E MAZON AVE, Dwight, IL 60420
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Other Names 1

Doing Business AsHeritage Health - Dwight

Other Providers at the Same Location NPPES 10

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

ERICKA L STEMPLE COTA/L
Occupational Therapy Assistant
300 E MAZON AVE
DWIGHT, IL 60420
Livingston County (815) 584-9268
MATTHEW J GOVEDNIK
Physical Therapy Assistant
300 E MAZON AVE
DWIGHT, IL 60420
Livingston County (815) 584-1240
KELLY MARTIN OTR/L
Occupational Therapist
300 E MAZON AVE
DWIGHT, IL 60420
Livingston County (815) 584-9268
ARC AT DWIGHT LLC
Durable Medical Equipment & Medical Supplies
300 E MAZON AVE
DWIGHT, IL 60420
Livingston County (815) 584-1240
MARCIE R BURTON COTA/L
Occupational Therapy Assistant (Environmental Modification)
300 E MAZON AVE
DWIGHT, IL 60420
Livingston County (815) 584-1240
AUDREY HOFFART OTR/L
Occupational Therapist
300 E MAZON AVE
DWIGHT, IL 60420
Livingston County (815) 584-1240
JENNIFER CRACCO
Speech-Language Pathologist
300 E MAZON AVE
DWIGHT, IL 60420
Livingston County (815) 584-1240
MRS. MODINAT IRETIOLUWA BOKIN
Occupational Therapist (Physical Rehabilitation)
300 E MAZON AVE
DWIGHT, IL 60420
Livingston County (815) 584-1240

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 - Dwight, LLC's NPI number?

The NPI number for Heritage Manor - Dwight, LLC is 1679817316. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Heritage Health - Dwight.

Where is Heritage Manor - Dwight, LLC located?

Heritage Manor - Dwight, LLC is located at 300 E Mazon Ave, Dwight, IL 60420. The listed phone number is (815) 584-1240.

What is Heritage Manor - Dwight, 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 - Dwight, LLC was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.