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Heritage Manor Beardstown South, Llc
Oxygen Equipment & Supplies (DME) in Beardstown, Illinois
NPI 1396736351

Heritage Manor Beardstown South, Llc is a Oxygen Equipment & Supplies (DME) based in Bloomington, IL and is specialized in Oxygen Equipment & Supplies. Heritage Manor Beardstown South, Llc practices in Beardstown, IL. The NPI Number for Heritage Manor Beardstown South, Llc is 1396736351 and holds a License No. 48843 (Illinois).

The current practice location address for Heritage Manor Beardstown South, Llc is 8306 Saint Lukes Dr, Beardstown, IL and can be reached out via phone at 217-323-4055 and via fax at 217-323-9454.

Location: 8306 Saint Lukes Dr, Beardstown, IL, 61701-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396736351
Provider Name
Heritage Manor Beardstown South, Llc
Credential
Provider Entity Type
Organization
Address
8306 Saint Lukes Dr, Beardstown, IL, 61701-3946
Phone Number
217-323-4055
Fax Number
217-323-9454
Provider Enumeration Date
10/31/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
205300208-001 05 IL
205300208-801 01 IL MEDICAID OXYGEN PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
8306 Saint Lukes Dr
City
Beardstown
State
Illinois
Zip
62618-8384
Phone Number
217-323-4055
Fax Number
217-323-9454
person
Provider Business Mailing Address Details
Address
8306 Saint Lukes Dr
City
Beardstown
State
Illinois
Zip
62618-8384
Phone Number
217-323-4055
Fax Number
217-323-9454
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0048843 (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.
48843 (Illinois)
Definition
Definition to come...
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