OrganizationActive
Heritage Manor Staunton LLC
NPI 1629069331 · Skilled Nursing Facility · Staunton, IL
Provider details
- NPI number
- 1629069331
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Heritage Enterprises, Inc
- Organization subpart
- Yes
- Authorized official
- David Underwood, Sr. Vp & Cfo(309) 828-4361
- License
- 0048876 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
215 W Pennsylvania St
Staunton, IL 62088-1127
Phone: (618) 635-5577
Fax: (618) 635-5580
Street-level locationGet directions
Mailing address
115 W Jefferson St
Bloomington, IL 61701-3946
Other names (DBA / former)
- Doing business as
- Heritage Health - Staunton
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2016-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.