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HERITAGE WOODS OF MT. VERNON, LLC
NPI 1922299858
Assisted Living Facility in Mount Vernon, IL

Active since August 06, 2007CLIA 14D2197938 · Waiver
1033 S 42ND ST, MOUNT VERNON, IL 62864(618) 241-9518(618) 241-9516 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heritage Woods Of Mt. Vernon, Llc NPPES

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

HERITAGE WOODS OF MT. VERNON, LLC (NPI 1922299858) is a healthcare organization registered as an assisted living facility in Mount Vernon, Illinois and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Sarah Diane Rowland, Administrator, as its authorized official.

NPPES Registry Identity

NPI1922299858
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHERITAGE WOODS OF MT. VERNON, LLC
Location Address1033 S 42ND STMount Vernon, IL 62864-6209
Mailing Address1033 S 42nd StMount Vernon, IL 62864-6209 · (618) 241-9518 · Fax (618) 241-9516
Phone(618) 241-9518
Fax(618) 241-9516
Organization SubpartNo
Authorized OfficialSarah Diane RowlandAdministrator · (618) 241-9518
Enumeration DateAugust 6, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1922299858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1033 S 42ND ST, Mount Vernon, IL 62864
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Other Identifiers 1

Medicaid=========001IL

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 14D2197938

Heritage Woods Of Mt Vernon · Mount Vernon, IL
Active · expires Oct 27, 2026
CLIA Number14D2197938
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorMichele L. Rolla
Laboratory Phone(618) 241-9518
Laboratory LocationHeritage Woods Of Mt Vernon1033 S 42nd St, Mount Vernon, IL 62864
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Woods Of Mt. Vernon, LLC's NPI number?

The NPI number for Heritage Woods Of Mt. Vernon, LLC is 1922299858. It was assigned to this organization in the NPPES registry on August 6, 2007.

Where is Heritage Woods Of Mt. Vernon, LLC located?

Heritage Woods Of Mt. Vernon, LLC is located at 1033 S 42nd St, Mount Vernon, IL 62864. The listed phone number is (618) 241-9518.

What is Heritage Woods Of Mt. Vernon, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Heritage Woods Of Mt. Vernon, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2197938) is associated with this NPI, valid through October 27, 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 Woods Of Mt. Vernon, LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.