Heritage Manor Carlinville, Llc in Bloomington - Oxygen Equipment & Supplies
Heritage Manor Carlinville, Llc - NPI 1831180892
Heritage Manor Carlinville, Llc is a Oxygen Equipment & Supplies in Bloomington, Illinois. Heritage Manor Carlinville, Llc practices all healthcare services and medical treatments related to Oxygen Equipment & Supplies. The NPI Number for Heritage Manor Carlinville, Llc is 1831180892. The last update date is 2014-05-27.
Heritage Manor Carlinville, Llc'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 Carlinville, Llc is 115 W Jefferson St, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heritage Manor Carlinville, Llc |
|---|---|
| Address | 115 W Jefferson St, Bloomington, Illinois |
| Phone Number | 3098284361 |
| Fax Number | 3098299512 |
| 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 | 1831180892 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2014-05-27 |
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 | 48850 |
|
Definition: Respiratory durable medical equipment dispensing therapeutic oxygen and related supplies like regulators, tubing and cannulas. |
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What is the unique identification code assigned to Heritage Manor Carlinville, Llc by the Centers for Medicare & Medicaid Services?
The Heritage Manor Carlinville, Llc has been issued the NPI (National Provider Identifier) 1831180892. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Heritage Manor Carlinville, Llc's physical address?
The Heritage Manor Carlinville, Llc is physically located at 115 W Jefferson St, in the city of Bloomington, IL, with the postal code 617013946.
What is the Heritage Manor Carlinville, Llc's specialty and taxonomy code?
The Heritage Manor Carlinville, Llc's specialty is Oxygen Equipment & Supplies, and the corresponding taxonomy code is 332Bx2000X.
When did Heritage Manor Carlinville, Llc receive its 1831180892 assignment?
The Heritage Manor Carlinville, Llc was assigned its 1831180892 on 2005-10-31, which is the date when this unique identifier was issued to the organization.
When was the information related to Heritage Manor Carlinville, Llc most recently updated or refreshed?
The details pertaining to the Heritage Manor Carlinville, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-05-27.