OrganizationActive
Heritage Manor - Peru, LLC
NPI 1164766861 · Oxygen Equipment & Supplies (DME) · Peru, IL
Provider details
- NPI number
- 1164766861
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Parent organization
- Heritage Enterprises, Inc
- Organization subpart
- Yes
- Authorized official
- David Underwood, Exec Vp, Cfo(309) 823-7135
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1301 21st St
Peru, IL 61354-1359
Phone: (815) 223-4901
Fax: (815) 224-2497
Street-level locationGet directions
Mailing address
115 W Jefferson St
Bloomington, IL 61701-3946
Other names (DBA / former)
- Doing business as
- Heritage Health
- Doing business as
- Heritage Health
Registry dates
- Enumerated
- 2012-11-19
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.