Heritage Manor Mendota, Llc

Skilled Nursing Facility



  
  1201 1st Ave, Mendota
Illinois, 61342-1815

 815-539-6745    815-538-2017
Heritage Manor Mendota, Llc is a Skilled Nursing Facility in Mendota, Illinois. This organization is also known as sub part of Heritage Enterprises, Inc. It is located at 1201 1st Ave, Mendota and it's customer support contact number is 815-539-6745. The authorized person of Heritage Manor Mendota, Llc is Mr. David M Underwood who is Sr. Vp & Cfo of this DME and his contact number is 309-828-4361. Active license number of Heritage Manor Mendota, Llc is 48108 for Skilled Nursing Facility in Illinois.
Heritage Manor Mendota, Llc is (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.


DME Supplier Details:
Heritage Manor Mendota, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
Name: Heritage Manor Mendota, Llc
Type: Skilled Nursing Facility
Location:1201 1st Ave, Mendota,
Illinois, 61342-1815
Phone:815-539-6745
Fax:815-538-2017
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
Name: Mr. David M Underwood
Position: Sr. Vp & Cfo
Contact Number: 309-828-4361
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
NPI Number: 1871583906
Parent Organization: Heritage Enterprises, Inc
NPI Enumeration Date: 28 Oct, 2005
NPI Last Update On: 27 May, 2014

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Heritage Manor Mendota, Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Skilled Nursing Facility 48108IllinoisPrimary
Oxygen Equipment & Supplies 0048108IllinoisSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 115 W Jefferson St, Suite 401
Bloomington, Illinois
Zip: 61701-3946
Phone Number: 309-828-4361
Fax Number: 309-829-9512
Patients can reach Heritage Manor Mendota, Llc at 1201 1st Ave, Mendota, Illinois or can call on customer care at 815-539-6745.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.