HERITAGE HEALTH - GIBSON CITY
NPI 1699765719
Skilled Nursing Facility in Gibson City, IL

Active since October 28, 2005
620 E 1ST ST, GIBSON CITY, IL 60936(217) 784-4257(217) 784-8279 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heritage Health - Gibson City NPPES

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

HERITAGE HEALTH - GIBSON CITY (NPI 1699765719) is a healthcare organization registered as a skilled nursing facility in Gibson City, Illinois and active in the NPI registry since October 2005. The organization lists David M Underwood, Exec Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1699765719
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE MANOR - GIBSON CITY, LLC
Location Address620 E 1ST STGibson City, IL 60936-1822
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-9512
Fax(217) 784-8279
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid M UnderwoodExec Vp & Cfo · (309) 828-4361
Enumeration DateOctober 28, 2005
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1699765719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 48116
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 ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 0048116 (IL)
620 E 1ST ST, Gibson City, IL 60936

Other Names 1

Doing Business AsHeritage Health - Gibson City

Other Providers at the Same Location NPPES 9

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

Skilled Nursing Facility
620 E 1ST ST
GIBSON CITY, IL 60936
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
620 E 1ST ST
GIBSON CITY, IL 60936
Occupational Therapist
620 E 1ST ST
GIBSON CITY, IL 60936
Durable Medical Equipment & Medical Supplies
620 E 1ST ST
GIBSON CITY, IL 60936
Speech-Language Pathologist
620 E 1ST ST
GIBSON CITY, IL 60936
Physical Therapist
620 E 1ST ST
GIBSON CITY, IL 60936
Occupational Therapy Assistant
620 E 1ST ST
GIBSON CITY, IL 60936
Occupational Therapy Assistant
620 E 1ST ST
GIBSON CITY, IL 60936

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 - Gibson City, LLC's NPI number?

The NPI number for Heritage Manor - Gibson City, LLC is 1699765719. It was assigned to this organization in the NPPES registry on October 28, 2005. The provider is doing business as Heritage Health - Gibson City.

Where is Heritage Manor - Gibson City, LLC located?

Heritage Manor - Gibson City, LLC is located at 620 E 1st St, Gibson City, IL 60936. The listed phone number is (217) 784-4257.

What is Heritage Manor - Gibson City, 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 - Gibson City, LLC was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.