Greenwood Manor Nursing Home Inc in Jerseyville - Nursing Facility/intermediate Care Facility
Greenwood Manor Nursing Home Inc - NPI 1336138411
Greenwood Manor Nursing Home Inc is a Nursing Facility/intermediate Care Facility in Jerseyville, Illinois. Greenwood Manor Nursing Home Inc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Greenwood Manor Nursing Home Inc is 1336138411. The last update date is 2020-08-22.
Greenwood Manor Nursing Home Inc's current location address is 410 Fletcher St, Jerseyville, Illinois. You can contact this provider via phone number 6184986427 and fax number 6186393339. The mailing address for Greenwood Manor Nursing Home Inc is 410 Fletcher St, Jerseyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Greenwood Manor Nursing Home Inc |
|---|---|
| Address | 410 Fletcher St, Jerseyville, Illinois |
| Phone Number | 6184986427 |
| Fax Number | 6186393339 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Plummer B Lawrence |
| Credentials | DO |
| Telephone Number | 6184986427 |
NPI Number Detail
| NPI Number | 1336138411 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 410 Fletcher St |
|---|---|
| City | Jerseyville |
| State | Illinois (IL) |
| Post Code | 620522127 |
| Phone Number | 6184986427 |
| Fax Number | 6186393339 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 20206 |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| I4A111 | IL | IL DEPT OF PUBLIC HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Greenwood Manor Nursing Home Inc by the Centers for Medicare & Medicaid Services?
The Greenwood Manor Nursing Home Inc has been assigned the NPI (National Provider Identifier) 1336138411 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Greenwood Manor Nursing Home Inc is physically located?
The Greenwood Manor Nursing Home Inc is physically situated at the following address: 410 Fletcher St, Jerseyville, IL, 620522127.
What is Greenwood Manor Nursing Home Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Greenwood Manor Nursing Home Inc is Nursing Facility/intermediate Care Facility, and the taxonomy classification code that categorizes this area of expertise is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336138411 to Greenwood Manor Nursing Home Inc?
The Centers for Medicare & Medicaid Services originally issued the 1336138411 to Greenwood Manor Nursing Home Inc on 2005-10-20.
As of what date was the information pertaining to Greenwood Manor Nursing Home Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Greenwood Manor Nursing Home Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.