UNITED METHODIST VILLAGE NORTH CAMPUS (NPI# 1437699303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437699303 |
| Entity Type | Organization |
| Organization Name | UNITED METHODIST VILLAGE NORTH CAMPUS |
| Practice Address |
2101 James St Lawrenceville IL 62439-2027 |
| Practice Telephone | 6189433444 |
| Mailing Telephone | 6189433444 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | MRS. PAULA MCKNIGHT (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 6189433444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
2101 JAMES ST |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003809922 | Village Health Care Management LLC | Nursing Facility/Intermediate Care Facility | 2101 James St, Lawrenceville, IL 62439-2027 | 2005-08-25 |
| 1740747864 | Jamie Keepes | Occupational Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-02-25 |
| 1356807291 | Jason Charles Reinhard | Physical Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-02-15 |
| 1548725914 | Courtney M Holloway | Occupational Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-02-09 |
| 1174087654 | Ryan M Hawkins | Physical Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-01-29 |
| 1568926731 | Ashley Wiseman | Occupational Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-01-22 |
| 1831663095 | Amber Newlin | Physical Medicine & Rehabilitation | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
| 1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
| 1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
| 1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| Find all providers in zip 62439 | ||||
| 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 |
|---|---|---|---|---|
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1134402233 | Optimum Health Skills Nursing Services LLC. | Skilled Nursing Facility | 1428 Avington Glen Dr, Lawrenceville, GA 30045-3541 | 2011-09-25 |
| 1316961741 | Ruxton Health Care Xiii, LLC | Skilled Nursing Facility | 1722 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3351 | 2006-07-27 |
| 1295768950 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 3850 Safehaven Dr, Lawrenceville, GA 30044-4042 | 2006-07-08 |
| 1700819216 | Miller Healthcare LLC | Skilled Nursing Facility | 112 Franklin Corner Rd, Lawrenceville, NJ 08648-2104 | 2006-07-08 |
| 1356374011 | Gwinnett Operations, LLC | Skilled Nursing Facility | 210 Collins Industrial Way, Lawrenceville, GA 30043-5450 | 2006-07-08 |
| 1255327862 | Delmar Gardens of Gwinnett Operating, LLC | Skilled Nursing Facility | 3100 Club Dr, Lawrenceville, GA 30044-2591 | 2005-09-20 |
| 1285636431 | Morris Hall St. Lawrence Inc. | Skilled Nursing Facility | One Bishops' Dr, Lawrenceville, NJ 08648 | 2005-06-01 |
| 1528508496 | United Methodist Village South Campus | Skilled Nursing Facility | 1616 Cedar St, Lawrenceville, IL 62439-2154 | 2017-02-27 |
| 1225436215 | 112 Franklin Corner Road Operating Company LLC | Skilled Nursing Facility | 112 Franklin Corner Rd, Lawrenceville, NJ 08648-2104 | 2014-12-08 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 62439 |
Please comment or provide details below to improve the information on UNITED METHODIST VILLAGE NORTH CAMPUS.
| 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.