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Heritage Manor - El Paso, Llc
Oxygen Equipment & Supplies (DME) in El Paso, Illinois
NPI 1093706137

Heritage Manor - El Paso, Llc is a Oxygen Equipment & Supplies (DME) based in Bloomington, IL and is specialized in Oxygen Equipment & Supplies. Heritage Manor - El Paso, Llc practices in El Paso, IL. The NPI Number for Heritage Manor - El Paso, Llc is 1093706137 and holds a License No. 48124 (Illinois).

The current practice location address for Heritage Manor - El Paso, Llc is 555 E Clay St, El Paso, IL and can be reached out via phone at 309-527-6240 and via fax at 309-527-6243.

Location: 555 E Clay St, El Paso, IL, 61701-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093706137
Provider Name
Heritage Manor - El Paso, Llc
Credential
Provider Entity Type
Organization
Address
555 E Clay St, El Paso, IL, 61701-3946
Phone Number
309-527-6240
Fax Number
309-527-6243
Provider Enumeration Date
10/28/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2039003447-801 01 IL MEDICAID OXYGEN PROVIDER
institution
Provider Business Practice Location Address Details
Address
555 E Clay St
City
El Paso
State
Illinois
Zip
61738-1508
Phone Number
309-527-6240
Fax Number
309-527-6243
person
Provider Business Mailing Address Details
Address
555 E Clay St
City
El Paso
State
Illinois
Zip
61738-1508
Phone Number
309-527-6240
Fax Number
309-527-6243
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0048124 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
48124 (Illinois)
Definition
Definition to come...
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