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Heritage Manor - Gibson City, Llc
Oxygen Equipment & Supplies (DME) in Gibson City, Illinois
NPI 1699765719

Heritage Manor - Gibson City, Llc is a Oxygen Equipment & Supplies (DME) based in Bloomington, IL and is specialized in Oxygen Equipment & Supplies. Heritage Manor - Gibson City, Llc practices in Gibson City, IL. The NPI Number for Heritage Manor - Gibson City, Llc is 1699765719 and holds a License No. 48116 (Illinois).

The current practice location address for Heritage Manor - Gibson City, Llc is 620 E 1St St, Gibson City, IL and can be reached out via phone at 217-784-4257 and via fax at 217-784-8279.

Location: 620 E 1St St, Gibson City, IL, 61701-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699765719
Provider Name
Heritage Manor - Gibson City, Llc
Credential
Provider Entity Type
Organization
Address
620 E 1St St, Gibson City, IL, 61701-3946
Phone Number
217-784-4257
Fax Number
217-784-8279
Provider Enumeration Date
10/28/2005
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
620 E 1St St
City
Gibson City
State
Illinois
Zip
60936-1822
Phone Number
217-784-4257
Fax Number
217-784-8279
person
Provider Business Mailing Address Details
Address
620 E 1St St
City
Gibson City
State
Illinois
Zip
60936-1822
Phone Number
217-784-4257
Fax Number
217-784-8279
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0048116 (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.
48116 (Illinois)
Definition
Definition to come...
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