HERITAGE HEALTH - BLOOMINGTON – NPI #1457343170
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

HERITAGE HEALTH - BLOOMINGTON is a skilled nursing facility (SNF) located in BLOOMINGTON, IL. NPPES has assigned the NPI number 1457343170 to HERITAGE HEALTH - BLOOMINGTON on August 18, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HERITAGE HEALTH - BLOOMINGTON” is a dba name, the actual legal business name for this organization is HERITAGE MANOR BLOOMINGTON, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 12 years ago on May 27, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HERITAGE HEALTH - BLOOMINGTON below.

NPI Profile for
HERITAGE MANOR BLOOMINGTON, LLC

NPI Number
1457343170
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HERITAGE MANOR BLOOMINGTON, LLC
Doing Business As (dba): HERITAGE HEALTH - BLOOMINGTON
Primary location
700 E WALNUT ST
BLOOMINGTON, IL 61701-3244
Phone: (309) 827-8004 Fax: (309) 827-0256
Mailing address
115 W JEFFERSON ST
SUITE 401
BLOOMINGTON, IL 61701-3946
Phone: (309) 828-4361 Fax: (309) 829-5477
Organization Subpart
Yes - HERITAGE HEALTH - BLOOMINGTON is subpart of another organization.
Authorized Official
DAVID UNDERWOOD
SR. VP & CFO
Phone: (309) 828-4361
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.