HERITAGE MANOR STAUNTON LLC (NPI# 1629069331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629069331 |
| Entity Type | Organization |
| Organization Name | HERITAGE MANOR STAUNTON LLC |
| Other Organization Name | HERITAGE HEALTH - STAUNTON |
| Practice Address |
215 W Pennsylvania St Staunton IL 62088-1127 |
| Mailing Address |
115 W Jefferson St Suite 401 Bloomington IL 61701-3946 |
| Practice Telephone | 6186355577 |
| Practice Fax Number | 6186355580 |
| Mailing Telephone | 3098284361 |
| Mailing Fax Number | 3098299512 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2016-04-04 |
| Authorized Official Name | MR. DAVID M UNDERWOOD (SR. VP & CFO) |
| Authorized Official Telephone | 3098284361 |
| Is Organization Subpart | Y |
| Parent Organization Name | HERITAGE ENTERPRISES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0048876 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Heritage Health - Staunton | Doing Business As Name - Organization |
| Street Address |
215 W PENNSYLVANIA ST |
| City | STAUNTON |
| State | IL |
| Zip Code | 62088-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538403241 | Heritage Manor - Staunton, LLC | Durable Medical Equipment & Medical Supplies | 215 W Pennsylvania St, Staunton, IL 62088-1127 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609431949 | Amanda Jane Settles | Occupational Therapy Assistant | 215 Heritage Manor-staunton, Staunton, IL 62088 | 2019-05-02 |
| 1891957130 | John Batista Caldieraro IIi | Dentist | 216 W Pennsylvania, Staunton, IL 62088 | 2008-06-27 |
| 1104012129 | Emerald Glen Management | Assisted Living Facility | 18192 Renken Road, Staunton, IL 62088 | 2007-09-24 |
| 1851649388 | South Macoupin Association for Special Education | Local Education Agency (LEA) | 701 N Deneen St, Staunton, IL 62088-1015 | 2012-08-15 |
| 1528401460 | Lisa Ann Scanzoni | Occupational Therapy Assistant | 708 N Deneen St, Staunton, IL 62088-1016 | 2013-04-10 |
| 1780635375 | Staunton School Dist 6 | Local Education Agency (LEA) | 801 N Deneen St, Staunton, IL 62088-1017 | 2006-05-16 |
| 1750881629 | Christina P Lawrence | Speech-Language Pathologist | 801 N Deneen St, Staunton, IL 62088-1017 | 2018-02-17 |
| 1316071731 | Janene Marie Parmentier | Rehabilitation Practitioner | 1043 Wolf Creek Ct, Staunton, IL 62088-1087 | 2007-03-15 |
| 1093914798 | Shawn Christopher Davis | Chiropractor | 842 N Edwardsville St, Staunton, IL 62088-1156 | 2007-07-12 |
| 1427388446 | Davis Chiropractic Center, P.C. | Chiropractor | 842 N Edwardsville St, Staunton, IL 62088-1156 | 2010-01-14 |
| Find all providers in zip 62088 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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|---|---|---|---|---|
| 1013959303 | Sp Kings Daughters, LLC | Skilled Nursing Facility | 1410 N Augusta St, Staunton, VA 24401-2401 | 2006-06-12 |
| 1508019647 | Envoy of Staunton, LLC | Skilled Nursing Facility | 512 Houston St, Staunton, VA 24401-3525 | 2008-11-03 |
| 1861416414 | Kings Daughters Facility Operations, LLC | Skilled Nursing Facility | 1410 N Augusta St, Staunton, VA 24401-2401 | 2006-07-27 |
| 1295759611 | Ruxton Health of Staunton, LLC | Skilled Nursing Facility | 512 Houston St, Staunton, VA 24401-3525 | 2006-07-27 |
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| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.