Heritage Manor - Mendota, Llc
Oxygen Equipment & Supplies
1201 1st Ave, Mendota
Illinois, 61342-1815
815-539-6745 815-538-2017
Heritage Manor - Mendota, Llc is a Oxygen Equipment & Supplies 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 David M Underwood, CPA who is Sr. Vp, Cfo of this DME and his contact number is 309-823-7135.
Heritage Manor - Mendota, Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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: | Oxygen Equipment & Supplies |
| 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: | David M Underwood |
| Credentials: | CPA |
| Position: | Sr. Vp, Cfo |
| Contact Number: | 309-823-7135 |
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: | 1982948683 |
| Parent Organization: | Heritage Enterprises, Inc |
| NPI Enumeration Date: | 19 Nov, 2012 |
| NPI Last Update On: | 24 Apr, 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.
| Specialization | License Number | State | Status | |
| Oxygen Equipment & Supplies | | | Primary | |
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: | 309-829-5477 |
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.