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Heritage Manor Minonk, LLC

Skilled Nursing Facility in Minonk, IL · enumerated 2005 · authorized official David Underwood, Sr. V.P. & Cfo.

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

National Provider Identifier

1750372801

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Registry record

Entity type Organization (Type 2)
Legal business name Heritage Manor Minonk, LLC
Other name <Unavail>
Parent organization Heritage Enterprises, Inc
Practice address 201 Locust St, Minonk, IL, 61760
Phone (309) 432-2557
Fax (309) 432-3330
Enumeration date Oct 28, 2005
Last updated in NPPES Jun 12, 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 48058 (IL) Primary

Authorized official

Name David Underwood
Title Sr. V.P. & Cfo
Phone (309) 823-7135

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

Who is the authorized official for Heritage Manor Minonk, LLC?
NPPES lists David Underwood (Sr. V.P. & Cfo) as the authorized official for this organization.
What is the NPI number for Heritage Manor Minonk, LLC?
The NPI for Heritage Manor Minonk, LLC is 1750372801, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-12.