BRIDGEMARK OF GREENVILLE, LLC (NPI# 1386641272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386641272 |
| Entity Type | Organization |
| Organization Name | BRIDGEMARK OF GREENVILLE, LLC |
| Practice Address |
400 E Hillview Ave Greenville IL 62246-2607 |
| Practice Telephone | 6186641622 |
| Mailing Telephone | 6186641622 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2015-04-29 |
| Authorized Official Name | MR. STEPHEN P MILLER (MEMBER) |
| Authorized Official Telephone | 3129942306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 0046680 | IL | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 0046680 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | FACILITY LICENSE NUMBER | 0046680 | 01 |
| Street Address |
400 E HILLVIEW AVE |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235649054 | Greenville Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 400 E Hillview Ave, Greenville, IL 62246-2607 | 2017-10-06 |
| 1033657291 | Kristi Korte | Speech-Language Pathologist | 400 E Hillview Ave, Greenville, IL 62246-2607 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| Find all providers in zip 62246 | ||||
| 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 |
|---|---|---|---|---|
| 1437673456 | 13455 Golden LLC | Skilled Nursing Facility | 13455 West Highway 90, Greenville, FL 32331 | 2017-08-01 |
| 1710348305 | Maybrook-c Whitecliff Opco LLC | Skilled Nursing Facility | 110 Fredonia Road, Greenville, PA 16125-7911 | 2016-03-10 |
| 1154792000 | East Carolina Rehab and Wellness, LLC | Skilled Nursing Facility | 2575 W 5th St, Greenville, NC 27834-7813 | 2015-10-16 |
| 1972932879 | Crosswinds Rehab | Skilled Nursing Facility | 13455 W Us Hwy 90, Greenville, FL 32331 | 2013-11-01 |
| 1427484195 | Greenville Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 117 Sycamore Street, Greenville, MO 63944-0108 | 2013-09-25 |
| 1255778064 | Providence Home Care LLC | Skilled Nursing Facility | 128 Millport Cir, Suite 200, Greenville, SC 29607-5571 | 2013-06-03 |
| 1548572894 | Patewood Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 2 Griffith Rd., Greenville, SC 29607-3503 | 2010-07-01 |
| 1952530867 | Upstate Senior Living, Inc. | Skilled Nursing Facility | 50 Arboretum Way, Greenville, SC 29617-6226 | 2009-07-13 |
| 1225276736 | 13455 Management LLC | Skilled Nursing Facility | 13455 West Us Highway 90, Greenville, FL 32331 | 2009-01-22 |
| 1285879437 | Benchmark Healthcare of Greenville, LLC | Skilled Nursing Facility | 108 Sycamore St, Greenville, MO 63944-0108 | 2008-12-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
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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.