HERITAGE MANOR CHILLICOTHE LLC NPI 1376014969

NPI Information

NPI: 1376014969
Provider Name: HERITAGE MANOR CHILLICOTHE, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
1028 W HILLCREST DR
CHILLICOTHE, IL
ZIP 61523
Phone: (309) 274-2194
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HERITAGE MANOR CHILLICOTHE, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Chillicothe, IL. HERITAGE MANOR CHILLICOTHE, LLC NPI is 1376014969. The provider is registered as an organization entity type.

The provider's business location address is:

1028 W HILLCREST DR
CHILLICOTHE, IL
ZIP 61523-258
Phone: (309) 274-2194

The provider's authorized official is David M Underwood .
The authorized official title is Cfo and has the following contact phone number (309) 828-4361.

The enumeration date for this NPI number is 12/8/2018 and was last updated on 12/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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