Heritage Manor - Peru, Llc in Peru - Skilled Nursing Facility
Heritage Manor - Peru, Llc - NPI 1013907138
Heritage Manor - Peru, Llc is a Skilled Nursing Facility in Peru, Illinois. Heritage Manor - Peru, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Heritage Manor - Peru, Llc is 1013907138. The last update date is 2022-04-18.
Heritage Manor - Peru, Llc's current location address is 1301 21st St, Peru, Illinois. You can contact this provider via phone number 8152234901 and fax number 8152236912. The mailing address for Heritage Manor - Peru, Llc is 1301 21st St, Peru, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heritage Manor - Peru, Llc |
|---|---|
| Address | 1301 21st St, Peru, Illinois |
| Phone Number | 8152234901 |
| Fax Number | 8152236912 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VP & C |
|---|---|
| Authorized Official Name | Underwood M David |
| Telephone Number | 3098284361 |
NPI Number Detail
| NPI Number | 1013907138 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2022-04-18 |
Provider Mailing Address Detail
| Address | 1301 21st St |
|---|---|
| City | Peru |
| State | Illinois (IL) |
| Post Code | 613541359 |
| Phone Number | 8152234901 |
| Fax Number | 8152236912 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 48090 |
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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 serv |
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What is the Heritage Manor - Peru, Llc's unique identification number?
The Heritage Manor - Peru, Llc has been assigned the NPI (National Provider Identifier) Number 1013907138 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Heritage Manor - Peru, Llc located?
The Heritage Manor - Peru, Llc is located at 1301 21St St, Peru, IL 613541359.
What is Heritage Manor - Peru, Llc's area of expertise and its corresponding taxonomy classification?
The Heritage Manor - Peru, Llc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1013907138 to Heritage Manor - Peru, Llc?
The Heritage Manor - Peru, Llc received its 1013907138 assignment from the Centers for Medicare & Medicaid Services on 2005-10-28.
When was the information related to Heritage Manor - Peru, Llc most recently updated or refreshed?
The details pertaining to the Heritage Manor - Peru, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-04-18.