NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

HERITAGE MANOR MINONK, LLC
201 LOCUST ST
MINONK, IL61760-1511
 Phone: 309-432-2557
 Fax: 309-432-3330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Occupational Therapy Assistant

224Z00000X
 

Physical Rehabilitation

225XP0019X 67 Occupational Therapist in Private Practice
 

Physical Therapy Assistant

225200000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for HERITAGE MANOR MINONK, LLC

NPI # 1750372801
LBN Legal business name HERITAGE MANOR MINONK, LLC
Authorized official DAVID UNDERWOOD - (SR. V.P. & CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/28/2005
Last updated 06/12/2014 - About 12 years ago
Identifiers
IL License # 48058
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for HERITAGE MANOR MINONK, LLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for HERITAGE MANOR MINONK, LLC
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Nursing & Custodial Care Facilities
APOSTOLIC CHRISTIAN HOME OF EUREKA
610 W. CRUGER ST.
EUREKA, IL
DAVID A HOEPER, MA, LPT
201 WHITETAIL LN.
HUDSON, IL
KARLY R ROSENCRANS
516 W FRENCH STREET
STREATOR, IL
LEONARD KOKALJ
1525 E MAIN ST
STREATOR, IL
TAYLOR CHASE, DPT
924 W CUSTER AVE
PONTIAC, IL
JORDAN COLLINS, DPT
924 W CUSTER AVE
PONTIAC, IL
LORI L PORCH, OTR
392 CLAYTONS WAY
METAMORA, IL
MAUREEN J SYLVESTER, P. T.
525 SWEETBRIAR
CHILLICOTHE, IL
LINDSAY L DAM, MS, CCC-SLP
303 JACKSON ST
WASHINGTON, IL
KELLY HORNBERGER
1201 NEWCASTLE RD.
WASHINGTON, IL

  View all Nursing & Custodial Care Facilities
v2.403