CCN: 146056 NPI: 1477549509 Organization

HERITAGE VILLAGE

901 N ENTRANCE AVE
KANKAKEE, IL 609012026

Contact Information

Phone 8159394506
Fax 8159394761
Enumeration Date 2005-09-23
Last Updated 2024-06-28

Taxonomies

Code: 314000000X (Primary) License State: IL

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 28100

providerType 38

vbpAdjustment 0.9872247166

censusDivision 3

cbsaActualGeographicLocation 28100

providerType 38

vbpAdjustment 0.9840264428

censusDivision 0

cbsaActualGeographicLocation 28100

providerType 38

vbpAdjustment 1.0157090603

censusDivision 0

cbsaActualGeographicLocation 28100

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 28100

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 28100

providerType 38

vbpAdjustment 0.9822878487

censusDivision 0

cbsaActualGeographicLocation 28100

providerType 38

vbpAdjustment 0.9804028215

censusDivision 0

cbsaActualGeographicLocation 28100

providerType 38

vbpAdjustment 0.9802457176

censusDivision 0

cbsaActualGeographicLocation 28100

providerType 38

vbpAdjustment 0.9802457176

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.