OrganizationActive
Heritage Manor - Mendota, LLC
NPI 1982948683 · Oxygen Equipment & Supplies (DME) · Mendota, IL
Provider details
- NPI number
- 1982948683
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Parent organization
- Heritage Enterprises, Inc
- Organization subpart
- Yes
- Authorized official
- David Underwood, Sr. 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
1201 1st Ave
Mendota, IL 61342-1815
Phone: (815) 539-6745
Fax: (815) 538-2017
Street-level locationGet directions
Mailing address
115 W Jefferson St
Bloomington, IL 61701-3946
Other names (DBA / former)
- Doing business as
- Heritage Health - Mendota
Registry dates
- Enumerated
- 2012-11-19
- Last updated
- 2014-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.