Heritage Manor - Beardstown East, L.L.C. in Bloomington - Oxygen Equipment & Supplies

Heritage Manor - Beardstown East, L.L.C. - NPI 1700877693

Heritage Manor - Beardstown East, L.L.C. is a Oxygen Equipment & Supplies in Bloomington, Illinois. Heritage Manor - Beardstown East, L.L.C. practices all healthcare services and medical treatments related to Oxygen Equipment & Supplies. The NPI Number for Heritage Manor - Beardstown East, L.L.C. is 1700877693. The last update date is 2012-06-23.

Heritage Manor - Beardstown East, L.L.C.'s current location address is 115 W Jefferson St, Bloomington, Illinois. You can contact this provider via phone number 3098284361 and fax number 3098299512. The mailing address for Heritage Manor - Beardstown East, L.L.C. is 115 W Jefferson St, Bloomington, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Heritage Manor - Beardstown East, L.L.C.
Address 115 W Jefferson St, Bloomington, Illinois
Phone Number 3098284361
Fax Number 3098299512
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXEC. VP &
Authorized Official Name Ater L Craig
Telephone Number 3098284361

NPI Number Detail

NPI Number 1700877693
Provider Enumeration Date 2005-10-31
Last Updated Date 2012-06-23

Provider Mailing Address Detail

Address 115 W Jefferson St
City Bloomington
State Illinois (IL)
Post Code 617013946
Phone Number 3098284361
Fax Number 3098299512

Provider's Primary Taxonomy Detail

Speciality Oxygen Equipment & Supplies
Taxonomy 332Bx2000X
Licence No 48835
Definition:
Respiratory durable medical equipment dispensing therapeutic oxygen and related supplies like regulators, tubing and cannulas.

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FAQs about Heritage Manor - Beardstown East, L.L.C.

What is the Heritage Manor - Beardstown East, L.L.C.'s unique identification number?

The Heritage Manor - Beardstown East, L.L.C. has been assigned the NPI (National Provider Identifier) Number 1700877693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Heritage Manor - Beardstown East, L.L.C. is physically located?

The Heritage Manor - Beardstown East, L.L.C. is situated at the following address: 115 W Jefferson St, Bloomington, IL 617013946.

What is Heritage Manor - Beardstown East, L.L.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Heritage Manor - Beardstown East, L.L.C.'s area of specialization is Oxygen Equipment & Supplies, and the corresponding taxonomy code that categorizes this field of practice is 332Bx2000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1700877693 to Heritage Manor - Beardstown East, L.L.C.?

The Heritage Manor - Beardstown East, L.L.C. received its 1700877693 assignment from the Centers for Medicare & Medicaid Services on 2005-10-31.

As of what date was the information regarding Heritage Manor - Beardstown East, L.L.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Heritage Manor - Beardstown East, L.L.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-23.

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