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

Heritage Manor Bloomington, LLC

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

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

National Provider Identifier

1457343170

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Registry record

Entity type Organization (Type 2)

Legal business name Heritage Manor Bloomington, LLC

Other name <Unavail>

Parent organization Heritage Enterprises, Inc

Practice address 700 E Walnut St, Bloomington, IL, 61701

Phone (309) 827-8004

Fax (309) 827-0256

Enumeration date Aug 18, 2005

Last updated in NPPES May 27, 2014

Taxonomy & classification

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

2251G0304X Geriatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225XP0019X Physical Rehabilitation Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 48157 (IL) Primary

332BX2000X Oxygen Equipment & Supplies (DME) Suppliers · License 48157 (IL) Secondary

Authorized official

Name David Underwood

Title Sr. Vp & Cfo

Phone (309) 828-4361

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

Where is Heritage Manor Bloomington, LLC located?

The practice location on file with NPPES is in Bloomington, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-05-27. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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