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Heritage Manor Mendota, Llc
Oxygen Equipment & Supplies (DME) in Mendota, Illinois
NPI 1871583906

Heritage Manor Mendota, Llc is a Oxygen Equipment & Supplies (DME) based in Bloomington, IL and is specialized in Oxygen Equipment & Supplies. Heritage Manor Mendota, Llc practices in Mendota, IL. The NPI Number for Heritage Manor Mendota, Llc is 1871583906 and holds a License No. 48108 (Illinois).

The current practice location address for Heritage Manor Mendota, Llc is 1201 1St Ave, Mendota, IL and can be reached out via phone at 815-539-6745 and via fax at 815-538-2017. You can also correspond with Heritage Manor Mendota, Llc through the mailing address at 115 W JEFFERSON ST, BLOOMINGTON, IL - 61701-3946 (mailing address contact number: 309-828-4361).

Location: 1201 1St Ave, Mendota, IL, 61701-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871583906
Provider Name
Heritage Manor Mendota, Llc
Credential
Provider Entity Type
Organization
Address
1201 1St Ave, Mendota, IL, 61701-3946
Phone Number
815-539-6745
Fax Number
815-538-2017
Provider Enumeration Date
10/28/2005
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1201 1St Ave
City
Mendota
State
Illinois
Zip
61342-1815
Phone Number
815-539-6745
Fax Number
815-538-2017
person
Provider Business Mailing Address Details
Address
115 W Jefferson St
City
Bloomington
State
Illinois
Zip
61701-3946
Phone Number
309-828-4361
Fax Number
309-829-9512
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0048108 (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.
48108 (Illinois)
Definition
Definition to come...
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