NPI Portal NPI Lookup & Verification

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

Heritage Manor - Mendota, LLC

Oxygen Equipment & Supplies (DME) in Mendota, IL · enumerated 2012 · authorized official David Underwood, Sr. Vp, Cfo.

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

National Provider Identifier

1982948683

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Heritage Manor - Mendota, LLC
Other name <Unavail>
Parent organization Heritage Enterprises, Inc
Practice address 1201 1st Ave, Mendota, IL, 61342
Phone (815) 539-6745
Fax (815) 538-2017
Enumeration date Nov 19, 2012
Last updated in NPPES Apr 24, 2014

Taxonomy & classification

332BX2000X Oxygen Equipment & Supplies (DME) Suppliers Primary

Authorized official

Name David Underwood
Title Sr. Vp, 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.

Read the full guide → Validate an NPI →

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 2014-04-24. Verify at npiregistry.cms.hhs.gov.
Where is Heritage Manor - Mendota, LLC located?
The practice location on file with NPPES is in Mendota, IL.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-04-24.