Heritage Manor Minonk, Llc is a
Skilled Nursing Facility based in Minonk, Illinois. Heritage Manor Minonk, Llc is licensed to practice in Illinois (license number 48058) and their current practice location is
201 Locust St, Minonk, Illinois. It can be reached at their office (for appointments etc.) via phone at
(309) 432-2557.
NPI number for Heritage Manor Minonk, Llc is 1750372801 and their current mailing address is 115 W Jefferson St, Suite 401, Bloomington, Illinois. Heritage Manor Minonk, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1750372801.
Healthcare Provider's Profile
| Full Name | Heritage Manor Minonk, Llc |
|---|
| Type | Facility |
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| Speciality | Skilled Nursing Facility |
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| Location | 201 Locust St, Minonk, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750372801
- Provider Enumeration Date: 10/28/2005
- Last Update Date: 06/12/2014
Medical Identifiers
Medical identifiers for Heritage Manor Minonk, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750372801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | (Illinois) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (Illinois) | Secondary |
| 2251G0304X | Physical Therapist - Geriatrics | (Illinois) | Secondary |
| 225200000X | Physical Therapy Assistant | (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | (Illinois) | Secondary |
| 314000000X | Skilled Nursing Facility | 48058 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heritage Manor Minonk, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Heritage Manor Minonk, Llc
115 W Jefferson St, Suite 401,
Bloomington, IL 61701-3946
Ph: (309) 828-4361 | Heritage Manor Minonk, Llc
201 Locust St,
Minonk, IL 61760-1511
Ph: (309) 432-2557 |
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