| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003188913 | | | | EVERGREEN PLACE DECATUR, LLC | 115 W JEFFERSON ST STE 401 | BLOOMINGTON | IL | 617013967 |
| 1013907138 | | | | HERITAGE MANOR - PERU, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1093706137 | | | | HERITAGE MANOR - EL PASO, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1093706830 | | | | HERITAGE MANOR - DANVILLE, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1104817816 | | | | HERITAGE MANOR PANA, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1205827268 | | | | HERITAGE MANOR - COLFAX, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1245221068 | | | | GREEN TREE PHARMACY, INC. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1295980852 | | | | EVERGREEN STREATOR, L.P. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1346230471 | | | | HERITAGE MANOR STREATOR, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1376534859 | | | | HERITAGE MANOR - ROBINSON, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1376538157 | | | | HENRY & JANE VONDERLIETH LIVING CENTER INC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013967 |
| 1376798777 | | | | EVERGREEN LITCHFIELD, L.P. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1396736351 | | | | HERITAGE MANOR BEARDSTOWN SOUTH, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1447429378 | | | | MCLEAN COUNTY ASSISTED LIVING FACILITY, L.L.C. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1477703882 | | | | HERITAGE MANOR - CARLINVILLE, L.L.C. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1497908974 | | | | HERITAGE MANOR - MT. ZION, L.L.C. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1508857459 | | | | HERITAGE MANOR GILLESPIE, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1548251382 | | | | HERITAGE MANOR LITCHFIELD, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1588655476 | | | | HERITAGE MANOR - MT. ZION, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1629069331 | | | | HERITAGE MANOR STAUNTON LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1629247283 | | | | MCLEAN COUNTY ASSISTED LIVING, L.L.C. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1659362556 | | | | BARTON W. STONE - JACKSONVILLE, L.L.C. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1689665572 | | | | HERITAGE MANOR CHILLICOTHE, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1699765719 | | | | HERITAGE MANOR - GIBSON CITY, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1700877693 | | | | HERITAGE MANOR - BEARDSTOWN EAST, L.L.C. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1710156609 | | | | HERITAGE ENTERPRISES, INC. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1750372595 | | | | RUTLEDGE JOINT VENTURES, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1750372801 | | | | HERITAGE MANOR MINONK, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1780675488 | | | | HERITAGE ENTERPRISES, INC. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1801049325 | | | | CARLE ARBOURS, INC. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1821317041 | | | | CASTLE MANOR | 115 W JEFFERSON ST STE 401 | BLOOMINGTON | IL | 617013967 |
| 1831180892 | | | | HERITAGE MANOR CARLINVILLE, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1871583906 | | | | HERITAGE MANOR MENDOTA, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1871583955 | | | | HERITAGE MANOR ELGIN, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1891786927 | | | | HERITAGE MANOR - MT STERLING, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1982695029 | | | | HERITAGE MANOR DWIGHT, LLC | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |