HERITAGE HEALTH - DWIGHT
NPI 1982695029
Skilled Nursing Facility in Dwight, IL

Active since October 28, 2005
300 E MAZON AVE, DWIGHT, IL 60420(815) 584-1240(815) 584-1267 Get Directions Write a Review

NPPES record last updated: May 27, 2014. 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 1982695029) is a healthcare organization registered as a skilled nursing facility in Dwight, 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

NPI1982695029
Entity TypeOrganization
Primary Taxonomy314000000X
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) 829-9512
Fax(815) 584-1267
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid M UnderwoodSr. Vp & Cfo · (309) 828-4361
Enumeration DateOctober 28, 2005
Last NPPES UpdateMay 27, 2014
NPI 1982695029 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 · 50492
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 50492 (IL)
300 E MAZON AVE, Dwight, IL 60420

Other Names 1

Doing Business AsHeritage Health - Dwight

Other Identifiers 2

Medicare OSCAR/certification145452IL
Medicaid=========-001IL

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.

Occupational Therapy Assistant
300 E MAZON AVE
DWIGHT, IL 60420
Physical Therapy Assistant
300 E MAZON AVE
DWIGHT, IL 60420
Occupational Therapist
300 E MAZON AVE
DWIGHT, IL 60420
Durable Medical Equipment & Medical Supplies
300 E MAZON AVE
DWIGHT, IL 60420
Occupational Therapy Assistant (Environmental Modification)
300 E MAZON AVE
DWIGHT, IL 60420
Occupational Therapist
300 E MAZON AVE
DWIGHT, IL 60420
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
300 E MAZON AVE
DWIGHT, IL 60420
Speech-Language Pathologist
300 E MAZON AVE
DWIGHT, IL 60420

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 1982695029. It was assigned to this organization in the NPPES registry on October 28, 2005. 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 Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Heritage Manor Dwight, 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.