HERITAGE HEALTH - MENDOTA
NPI 1871583906
Skilled Nursing Facility in Mendota, IL
About Heritage Health - Mendota NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERITAGE HEALTH - MENDOTA (NPI 1871583906) is a healthcare organization registered as a skilled nursing facility in Mendota, Illinois and active in the NPI registry since October 2005. The organization lists David M Underwood, Sr. Vp & Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MENDOTA, IL 61342
MENDOTA, IL 61342
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 Mendota, LLC's NPI number?
The NPI number for Heritage Manor Mendota, LLC is 1871583906. It was assigned to this organization in the NPPES registry on October 28, 2005. The provider is doing business as Heritage Health - Mendota.
Where is Heritage Manor Mendota, LLC located?
Heritage Manor Mendota, LLC is located at 1201 1st Ave, Mendota, IL 61342. The listed phone number is (815) 539-6745.
What is Heritage Manor Mendota, 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 Mendota, LLC was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.