Heritage Manor - Peru, LLC
Heritage Manor - Peru, LLC is a healthcare organization registered as Skilled Nursing Facility in Peru, IL, holding Type 2 (organization) NPI 1013907138 since 2005. The authorized official on file is David Underwood, Sr. Vp & Cfo.
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| NPI | 1013907138 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Heritage Manor - Peru, LLC |
| Other name | <Unavail> |
| Parent organization | Heritage Enterprises, Inc |
| Practice address | 1301 21ST ST, Peru, IL, 61354 |
| Phone | 8152234901 |
| Fax | 8152236912 |
| Enumeration date | 2005-10-28 |
| Last updated in NPPES | 2022-04-18 |
Authorized official
| Name | David Underwood |
|---|---|
| Title | Sr. Vp & Cfo |
| Phone | 3098284361 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332BX2000X | Oxygen Equipment & Supplies (DME) | Secondary | 0048090 | IL |
| 314000000X | Skilled Nursing Facility | Primary | 48090 | IL |
Copy-ready billing details
Provider: Heritage Manor - Peru, LLC NPI: 1013907138 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1301 21ST ST, Peru, IL, 61354
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1659499093 | Delinard Sibbaluca | Individual | Physical Therapist | Peru, IL |
| 1164766861 | Heritage Manor - Peru, LLC | Organization | Oxygen Equipment & Supplies (DME) | Peru, IL |
| 1346840584 | Vanessa Langguth | Individual | Physical Therapy Assistant | Peru, IL |
| 1326626334 | Nicole Lavanway | Individual | Occupational Therapy Assistant | Peru, IL |
| 1033884531 | Tricia Tonarelli | Individual | Physical Therapy Assistant | Peru, IL |
| 1184310575 | Allure of Peru, LLC | Organization | Skilled Nursing Facility | Peru, IL |
| 1912691569 | Allure of Peru, LLC | Organization | Oxygen Equipment & Supplies (DME) | Peru, IL |
Verify this record
Cross-check NPI 1013907138 against the authoritative CMS record: view Heritage Manor - Peru, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Heritage Manor - Peru, LLC?
Who is the authorized official for Heritage Manor - Peru, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-04-18.