OrganizationActive
Heritage Manor Beardstown South, LLC
NPI 1396736351 · Skilled Nursing Facility · Beardstown, IL
Provider details
- NPI number
- 1396736351
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Heritage Enterprises, Inc
- Organization subpart
- Yes
- Authorized official
- David Underwood, Sr. Vice President & Cfo(309) 828-4361
- License
- 0048843 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Suppliers
Practice location
8306 Saint Lukes Dr
Beardstown, IL 62618-8384
Phone: (217) 323-4055
Fax: (217) 323-9454
Approximate (ZIP-level) locationGet directions
Mailing address
115 W Jefferson St
Bloomington, IL 61701-3946
Other names (DBA / former)
- Doing business as
- Heritage Health - Beardstown
Registry dates
- Enumerated
- 2005-10-31
- Last updated
- 2014-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.