Heritage Manor - Peru, Llc in Peru - Oxygen Equipment & Supplies
Heritage Manor - Peru, Llc - NPI 1013907138
Heritage Manor - Peru, Llc is a Oxygen Equipment & Supplies in Peru, Illinois. Heritage Manor - Peru, Llc practices all healthcare services and medical treatments related to Oxygen Equipment & Supplies. 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 | Oxygen Equipment & Supplies |
|---|---|
| Taxonomy | 332Bx2000X |
| Licence No | 48090 |
|
Definition: Respiratory durable medical equipment dispensing therapeutic oxygen and related supplies like regulators, tubing and cannulas. |
|
Post Comment/ Review Below
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 Oxygen Equipment & Supplies, and it falls under the taxonomy code 332Bx2000X, 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.