National Provider Identifier Database

HERITAGE MANOR MINONK LLC
Skilled Nursing Facility

(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.


Contact Information

HERITAGE MANOR MINONK, LLC
201 LOCUST ST
MINONK, IL61760-1511
Phone: 309-432-2557
Fax: 309-432-3330
Website:
Specialty Taxonomy Code
* Skilled Nursing Facility 314000000X
Geriatrics 2251G0304X
Occupational Therapy Assistant 224Z00000X
Physical Rehabilitation 225XP0019X
Physical Therapy Assistant 225200000X
Speech-Language Pathologist 235Z00000X

* Indicates primary specialty

NPI Profile & details for HERITAGE MANOR MINONK, LLC

NPI Number 1750372801
Legal business name
LBN
HERITAGE MANOR MINONK, LLC
Authorized official DAVID UNDERWOOD - (SR. V.P. & CFO)
Entity Organization
Organization subpart Yes
Enumeration date 10/28/2005
Last updated 06/12/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 48058

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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