Heritage Manor Mendota, LLC
NPI 1871583906 · Skilled Nursing Facility · Mendota, IL
Heritage Manor Mendota, LLC is a Skilled Nursing Facility organization in Mendota, IL (NPI 1871583906).
Provider details
- NPI number
- 1871583906
- 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
- 0048108 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Suppliers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Heritage Health - Mendota
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2014-05-27
Frequently asked questions
- What is Heritage Manor Mendota, LLC's NPI number?
- Heritage Manor Mendota, LLC's National Provider Identifier (NPI) is 1871583906, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heritage Manor Mendota, LLC?
- Heritage Manor Mendota, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Heritage Manor Mendota, LLC located?
- Heritage Manor Mendota, LLC's practice location on file with NPPES is 1201 1st Ave, Mendota, IL 61342-1815.
- What is Heritage Manor Mendota, LLC's phone number?
- The practice phone number listed in the NPPES registry for Heritage Manor Mendota, LLC is (815) 539-6745.
- Who is the authorized official for Heritage Manor Mendota, LLC?
- The authorized official listed on Heritage Manor Mendota, LLC's NPPES record is David Underwood, Sr. Vp & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heritage Manor Mendota, LLC's NPI active?
- Yes — Heritage Manor Mendota, LLC's NPI (1871583906) is active in the NPPES registry as of the last update on 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.