Heritage Manor Normal, Llc in Bloomington - Oxygen Equipment & Supplies
Heritage Manor Normal, Llc - NPI 1841281979
Heritage Manor Normal, Llc is a Oxygen Equipment & Supplies in Bloomington, Illinois. Heritage Manor Normal, Llc practices all healthcare services and medical treatments related to Oxygen Equipment & Supplies. The NPI Number for Heritage Manor Normal, Llc is 1841281979. The last update date is 2014-07-23.
Heritage Manor Normal, Llc's current location address is 115 W Jefferson St, Bloomington, Illinois. You can contact this provider via phone number 3098237135 and fax number 3098295477. The mailing address for Heritage Manor Normal, Llc is 115 W Jefferson St, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heritage Manor Normal, Llc |
|---|---|
| Address | 115 W Jefferson St, Bloomington, Illinois |
| Phone Number | 3098237135 |
| Fax Number | 3098295477 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. VP & C |
|---|---|
| Authorized Official Name | Underwood M David |
| Telephone Number | 3098237135 |
NPI Number Detail
| NPI Number | 1841281979 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2014-07-23 |
Provider Mailing Address Detail
| Address | 115 W Jefferson St |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617013946 |
| Phone Number | 3098237135 |
| Fax Number | 3098295477 |
Provider's Primary Taxonomy Detail
| Speciality | Oxygen Equipment & Supplies |
|---|---|
| Taxonomy | 332Bx2000X |
| Licence No | 48082 |
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Definition: Respiratory durable medical equipment dispensing therapeutic oxygen and related supplies like regulators, tubing and cannulas. |
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What is the unique 10-digit identifier code assigned to Heritage Manor Normal, Llc by the Centers for Medicare & Medicaid Services?
The Heritage Manor Normal, Llc has been issued the NPI (National Provider Identifier) 1841281979 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Heritage Manor Normal, Llc's physical address?
The Heritage Manor Normal, Llc is physically located at 115 W Jefferson St, in the city of Bloomington, IL, with the postal code 617013946.
What is Heritage Manor Normal, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Heritage Manor Normal, Llc is Oxygen Equipment & Supplies, and the taxonomy code that classifies this field of practice is 332Bx2000X.
On what date did Heritage Manor Normal, Llc receive its 1841281979 assignment from the Centers for Medicare & Medicaid Services?
The Heritage Manor Normal, Llc was assigned its 1841281979 on 2005-10-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Heritage Manor Normal, Llc's details last updated?
The information pertaining to the Heritage Manor Normal, Llc, including its address, specialty, and other details, was most recently updated on 2014-07-23.