Beverly Enterprises - Illinois, Inc. in Wood River - Skilled Nursing Facility
Beverly Enterprises - Illinois, Inc. - NPI 1275628448
Beverly Enterprises - Illinois, Inc. is a Skilled Nursing Facility in Wood River, Illinois. Beverly Enterprises - Illinois, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Beverly Enterprises - Illinois, Inc. is 1275628448. The last update date is 2020-08-22.
Beverly Enterprises - Illinois, Inc.'s current location address is 393 E Edwardsville Rd, Wood River, Illinois. You can contact this provider via phone number 6182594111. The mailing address for Beverly Enterprises - Illinois, Inc. is 393 E Edwardsville Rd, Wood River, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beverly Enterprises - Illinois, Inc. |
|---|---|
| Address | 393 E Edwardsville Rd, Wood River, Illinois |
| Phone Number | 6182594111 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Merrell David |
| Telephone Number | 4792014840 |
NPI Number Detail
| NPI Number | 1275628448 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 393 E Edwardsville Rd |
|---|---|
| City | Wood River |
| State | Illinois (IL) |
| Post Code | 620951646 |
| Phone Number | 6182594111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 105320 | IL | BCBS | |
| 47523 | IL | GROUP HP |
Post Comment/ Review Below
What is the Beverly Enterprises - Illinois, Inc.'s 1275628448?
The Beverly Enterprises - Illinois, Inc.'s NPI (National Provider Identifier) Number is 1275628448. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Beverly Enterprises - Illinois, Inc. located?
The Beverly Enterprises - Illinois, Inc. is located at 393 E Edwardsville Rd, Wood River, IL 620951646.
What is Beverly Enterprises - Illinois, Inc.'s area of expertise and its corresponding taxonomy classification?
The Beverly Enterprises - Illinois, Inc.'s field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
When was the Beverly Enterprises - Illinois, Inc.'s 1275628448 issued?
The Beverly Enterprises - Illinois, Inc.'s 1275628448 was issued on 2006-10-04.
As of what date was the information pertaining to Beverly Enterprises - Illinois, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Beverly Enterprises - Illinois, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1275535502
Address: 1986 Enterprise Ave Apt B, Great Lakes, IL