OrganizationActive
Heritage Manor - Walnut, LLC
NPI 1417201963 · Oxygen Equipment & Supplies (DME) · Walnut, IL
Heritage Manor - Walnut, LLC is a Oxygen Equipment & Supplies (DME) organization in Walnut, IL (NPI 1417201963).
Provider details
- NPI number
- 1417201963
- 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(79/100 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
308 S 2nd St
Walnut, IL 61376-9364
Phone: (815) 379-2131
Fax: (815) 379-2235
Approximate (ZIP-level) locationGet directions
Mailing address
115 W Jefferson St
Bloomington, IL 61701-3946
Other names (DBA / former)
- Doing business as
- Heritage Health
Registry dates
- Enumerated
- 2012-11-06
- Last updated
- 2016-10-18
Frequently asked questions
- What is Heritage Manor - Walnut, LLC's NPI number?
- Heritage Manor - Walnut, LLC's National Provider Identifier (NPI) is 1417201963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heritage Manor - Walnut, LLC?
- Heritage Manor - Walnut, LLC is classified in the NPPES registry as Oxygen Equipment & Supplies (DME) (Suppliers).
- Where is Heritage Manor - Walnut, LLC located?
- Heritage Manor - Walnut, LLC's practice location on file with NPPES is 308 S 2nd St, Walnut, IL 61376-9364.
- What is Heritage Manor - Walnut, LLC's phone number?
- The practice phone number listed in the NPPES registry for Heritage Manor - Walnut, LLC is (815) 379-2131.
- Who is the authorized official for Heritage Manor - Walnut, LLC?
- The authorized official listed on Heritage Manor - Walnut, LLC's NPPES record is David Underwood, Exec Vp, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heritage Manor - Walnut, LLC's NPI active?
- Yes — Heritage Manor - Walnut, LLC's NPI (1417201963) is active in the NPPES registry as of the last update on 2016-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.