HERITAGE HEALTH - GIBSON CITY – NPI #1699765719
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 - GIBSON CITY is a skilled nursing facility (SNF) located in GIBSON CITY, IL. NPPES has assigned the NPI number 1699765719 to HERITAGE HEALTH - GIBSON CITY on October 28, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HERITAGE HEALTH - GIBSON CITY” is a dba name, the actual legal business name for this organization is HERITAGE MANOR - GIBSON CITY, 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.

The NPI profile was previously updated about 4 years ago on Mar 21, 2022. 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 - GIBSON CITY below.

NPI Profile for
HERITAGE MANOR - GIBSON CITY, LLC

NPI Number
1699765719
Enumeration Date

(more than 20 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 - GIBSON CITY, LLC
Doing Business As (dba): HERITAGE HEALTH - GIBSON CITY
Primary location
620 E 1ST ST
GIBSON CITY, IL 60936-1822
Phone: (217) 784-4257 Fax: (217) 784-8279
Mailing address
115 W JEFFERSON ST
SUITE 401
BLOOMINGTON, IL 61701-3946
Phone: (309) 828-4361 Fax: (309) 829-9512
Organization Subpart
Yes - HERITAGE HEALTH - GIBSON CITY is subpart of another organization.
Authorized Official
DAVID UNDERWOOD
EXEC VP & CFO
Phone: (309) 828-4361
Updated
Certification Date
Mar 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
IL 48116
332BX2000X
- Durable Medical Equipment & Medical Supplies / Oxygen Equipment & Supplies
IL 0048116

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.