Heritage Manor Mendota, LLC
NPI 1871583906ActiveOrganization· Skilled Nursing Facility· Mendota, IL
Skilled Nursing Facility in Mendota, Illinois, registered in NPPES in October 2005, part of Heritage Enterprises, Inc. The authorized official on file is David M. Underwood, Sr. Vp & Cfo.
Overview
| NPI | 1871583906 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Heritage Enterprises, Inc |
| NPI issued | Oct 28, 2005 |
| Last updated in NPPES | May 27, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 48108 | IL |
| Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 332BX2000X | 0048108 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Skilled Nursing Facility providers in Mendota
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