Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Heritage Manor Beardstown South, LLC

Q: What is the NPI number for Heritage Manor Beardstown South, LLC?

The NPI for Heritage Manor Beardstown South, LLC is 1396736351, a Type 2 (organization) record in the CMS NPPES registry.

Skilled Nursing Facility in Beardstown, IL · enumerated 2005 · authorized official David Underwood, Sr. Vice President & Cfo.

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

National Provider Identifier

1396736351

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Registry record

Entity type Organization (Type 2)

Legal business name Heritage Manor Beardstown South, LLC

Other name <Unavail>

Parent organization Heritage Enterprises, Inc

Practice address 8306 Saint Lukes Dr, Beardstown, IL, 62618

Phone (217) 323-4055

Fax (217) 323-9454

Enumeration date Oct 31, 2005

Last updated in NPPES May 27, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 48843 (IL) Primary

332BX2000X Oxygen Equipment & Supplies (DME) Suppliers · License 0048843 (IL) Secondary

Authorized official

Name David Underwood

Title Sr. Vice President & Cfo

Phone (309) 828-4361

Other identifiers

Identifier	Type	State	Issuer
205300208-001	Medicaid	IL	-
205300208-801	Other	IL	MEDICAID OXYGEN PROVIDER NUMBER

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 → Validate an NPI →

Frequently asked questions

Who is the authorized official for Heritage Manor Beardstown South, LLC?

NPPES lists David Underwood (Sr. Vice President & Cfo) as the authorized official for this organization.

What is the NPI number for Heritage Manor Beardstown South, LLC?

The NPI for Heritage Manor Beardstown South, LLC is 1396736351, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Heritage Manor - Beardstown South, LLC Oxygen Equipment & Supplies (DME) · Beardstown, IL NPI 1598009128 Cassandra Henry Speech-Language Pathologist · Beardstown, IL NPI 1295162212 Briana Arenz Speech-Language Pathologist · Beardstown, IL NPI 1043612195 Beth Blankenship Physical Therapy Assistant · Beardstown, IL NPI 1669944435 Callie Estes Occupational Therapy Assistant · Beardstown, IL NPI 1942957592 Beardstown Health and Rehab Center LLC Skilled Nursing Facility · Beardstown, IL NPI 1336839380 Beardstown Health and Rehab Center LLC Oxygen Equipment & Supplies (DME) · Beardstown, IL NPI 1811681141

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-27.