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HERITAGE WOODS OF BENTON
NPI 1972709657
Assisted Living Facility in Benton, IL

Active since June 21, 2007CLIA 14D2199452 · Waiver
1305 BAILEY LN, BENTON, IL 62812(618) 439-9431 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heritage Woods Of Benton NPPES

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

HERITAGE WOODS OF BENTON (NPI 1972709657) is a healthcare organization registered as an assisted living facility in Benton, Illinois and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Susan R. Coloni, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972709657
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHERITAGE WOODS OF BENTON
Location Address1305 BAILEY LNBenton, IL 62812-2861
Mailing Address1305 Bailey LnBenton, IL 62812-2861 · (618) 439-9431
Phone(618) 439-9431
Organization SubpartNo
Authorized OfficialSusan R. ColoniAdministrator · (618) 439-9431
Enumeration DateJune 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972709657 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.
1305 BAILEY LN, Benton, IL 62812
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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 14D2199452

Heritage Woods Of Benton · Benton, IL
Active · expires Nov 8, 2026
CLIA Number14D2199452
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorDiane Simpson
Laboratory Phone(618) 439-9431
Laboratory LocationHeritage Woods Of Benton1305 Bailey Lane, Benton, IL 62812
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 Benton's NPI number?

The NPI number for Heritage Woods Of Benton is 1972709657. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is Heritage Woods Of Benton located?

Heritage Woods Of Benton is located at 1305 Bailey Ln, Benton, IL 62812. The listed phone number is (618) 439-9431.

What is Heritage Woods Of Benton's specialty?

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

Does Heritage Woods Of Benton hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2199452) is associated with this NPI, valid through November 8, 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 Benton was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.