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HERITAGE HEALTH - MENDOTA
NPI 1982948683
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Mendota, IL

Active since November 19, 2012
1201 1ST AVE, MENDOTA, IL 61342(815) 539-6745(815) 538-2017 Get Directions Write a Review

NPPES record last updated: April 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Health - Mendota NPPES

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

HERITAGE HEALTH - MENDOTA (NPI 1982948683) is a healthcare organization registered as an oxygen equipment & supplies in Mendota, Illinois and active in the NPI registry since November 2012. The organization lists David M Underwood, Sr. Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1982948683
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameHERITAGE MANOR - MENDOTA, LLC
Location Address1201 1ST AVEMendota, IL 61342-1815
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-5477
Phone(815) 539-6745
Fax(815) 538-2017
Organization SubpartYesParent: Heritage Enterprises, Inc
Authorized OfficialDavid M UnderwoodSr. Vp, Cfo · (309) 823-7135
Enumeration DateNovember 19, 2012
Last NPPES UpdateApril 24, 2014
✔ NPI 1982948683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
1201 1ST AVE, Mendota, IL 61342
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Other Names 1

Doing Business AsHeritage Health - Mendota

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.

ALLURE OF MENDOTA, LLC
Skilled Nursing Facility
1201 1ST AVE
MENDOTA, IL 61342
Lasalle County (815) 539-6745
TAMARA MARIE MORRIS COTA
Occupational Therapy Assistant
1201 1ST AVE
MENDOTA, IL 61342
Lasalle County (800) 397-1313
PROF. JOSHUA CHASE HUMPHREY O.T.R.
Occupational Therapist
1201 1ST AVE
MENDOTA, IL 61342
Lasalle County (815) 539-6745
ALLURE OF MENDOTA, LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1201 1ST AVE
MENDOTA, IL 61342
Lasalle County (815) 539-6745
HERITAGE MANOR MENDOTA, LLC
Skilled Nursing Facility
1201 1ST AVE
MENDOTA, IL 61342
Lasalle County (815) 539-6745

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 1982948683. It was assigned to this organization in the NPPES registry on November 19, 2012. 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 Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

When was this NPI record last updated?

The NPPES record for Heritage Manor - Mendota, LLC was last updated on April 24, 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.