KNOX COUNTY NURSING HOME (NPI# 1033354725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033354725 |
| Entity Type | Organization |
| Organization Name | KNOX COUNTY NURSING HOME |
| Practice Address |
800 N Market St Knoxville IL 61448-1096 |
| Practice Telephone | 3092892338 |
| Practice Fax Number | 3092898384 |
| Mailing Telephone | 3092892338 |
| Mailing Fax Number | 3092898384 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |
| Authorized Official Name | MS. MARIANNE WIESEN (ADMINISTRATOR) |
| Authorized Official Telephone | 3092892338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0010561 | IL | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KNOX COUNTY NURSING HOME | 55774 State Highway 6, Edina, MO 63537-4253 |
| Street Address |
800 N MARKET ST |
| City | KNOXVILLE |
| State | IL |
| Zip Code | 61448-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326035304 | County of Knox | Skilled Nursing Facility | 800 N Market St, Knoxville, IL 61448-1096 | 2005-10-04 |
| 1912550302 | Katherine Michele Morrissey | Occupational Therapist | 800 N Market St, Knoxville, IL 61448-1097 | 2019-07-24 |
| 1568927150 | Michelle Nelson | Occupational Therapy Assistant | 800 N Market St, Knoxville, IL 61448-1096 | 2019-02-07 |
| 1295299923 | Marci Tyrrell | Physical Therapy Assistant | 800 N Market St, Knoxville, IL 61448-1096 | 2019-01-28 |
| 1740612704 | Jinal Gala | Speech-Language Pathologist | 800 N Market St, Knoxville, IL 61448-1096 | 2013-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801980826 | Steven D Shonkwiler | Orthopaedic Surgery | 513 Newman St, Knoxville, IL 61448 | 2006-10-03 |
| 1568483329 | Good Samaritan Nursing Home | Nursing Home Administrator | 407 N Hebard Street, Knoxville, IL 61448 | 2006-07-21 |
| 1033241245 | Robert Wallace White | Chiropractor | 307 Henderson Rd, Knoxville, IL 61448-1019 | 2007-03-12 |
| 1942567938 | Robert W. & Amy White | Chiropractor | 307 Henderson Rd, Knoxville, IL 61448-1019 | 2012-04-16 |
| 1639138134 | Good Samaritan Nursing Home | Nursing Facility/Intermediate Care Facility | 407 N Hebard St, Knoxville, IL 61448-1174 | 2006-03-22 |
| 1366597353 | Michael Kotula | Chiropractor | 106 E Public Sq, Knoxville, IL 61448-1300 | 2007-01-23 |
| 1851593321 | County of Knox Knoxville Com Unit School Dist 202 | Local Education Agency (LEA) | 600 E Main St, Knoxville, IL 61448-1318 | 2007-06-05 |
| 1447616347 | Petersen Health Systems, Inc | Assisted Living Facility | 415 E Main St, Knoxville, IL 61448-1330 | 2016-01-07 |
| 1851484075 | Clyde Grady | Family Medicine | 104 S Broad St, Knoxville, IL 61448-1339 | 2006-10-02 |
| 1750497798 | Joseph Robert Nichols | Dentist | 228 E Main St, Knoxville, IL 61448-1351 | 2006-08-22 |
| Find all providers in zip 61448 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940613 | Marble City Medical LLC | Skilled Nursing Facility | 7500 Dodson Rd, Knoxville, TN 37920-9734 | 2019-03-11 |
| 1457805186 | Barton Blazer Smith | Skilled Nursing Facility | 210 Busbee Rd, Knoxville, TN 37920-5104 | 2016-08-11 |
| 1114312899 | Dr. David White | Skilled Nursing Facility | 9401 Naraca Dr, Knoxville, TN 37922-3404 | 2015-03-31 |
| 1164830261 | National Health Care | Skilled Nursing Facility | 809 East Emerald Ave, Knoxville, TN 37917 | 2014-08-01 |
| 1891701645 | Summit View of Farragut, LLC | Skilled Nursing Facility | 12823 Kingston Pike, Knoxville, TN 37934-0920 | 2006-08-01 |
| 1750306759 | Nhc Healthcare-knoxville LLC | Skilled Nursing Facility | 809 E Emerald Ave, Knoxville, TN 37917-5550 | 2006-07-12 |
| 1164467270 | Knoxville Health Care Center, Ltd | Skilled Nursing Facility | 2120 Highland Ave, Knoxville, TN 37916-1112 | 2006-06-20 |
| 1790726503 | Tennessee State Veterans Home Board | Skilled Nursing Facility | One Veterans Way, Knoxville, TN 37931-3101 | 2006-06-10 |
| 1699748178 | Care Initiatives | Skilled Nursing Facility | 1904 W Howard St, Knoxville, IA 50138-3180 | 2006-02-07 |
| 1265410948 | Fort Sanders Regional Medical Center | Skilled Nursing Facility | 1901 Clinch Avenue, Knoxville, TN 37995-0001 | 2006-01-04 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.