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Heritage Manor - El Paso, LLC

Skilled Nursing Facility in El Paso, IL · enumerated 2005 · authorized official David Underwood, Sr. Vp & Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093706137

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Registry record

Entity type Organization (Type 2)
Legal business name Heritage Manor - El Paso, LLC
Other name <Unavail>
Parent organization Heritage Enterprises, Inc
Practice address 555 E Clay St, El Paso, IL, 61738
Phone (309) 527-6240
Fax (309) 527-6243
Enumeration date Oct 28, 2005
Last updated in NPPES Apr 6, 2022

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 48124 (IL) Primary
332BX2000X Oxygen Equipment & Supplies (DME) Suppliers · License 0048124 (IL) Secondary

Authorized official

Name David Underwood
Title Sr. Vp & Cfo
Phone (309) 828-4361

Other identifiers

Identifier Type State Issuer
2039003447-801 Other IL MEDICAID OXYGEN PROVIDER

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-04-06. Verify at npiregistry.cms.hhs.gov.
Where is Heritage Manor - El Paso, LLC located?
The practice location on file with NPPES is in El Paso, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-04-06.