FRIENDSHIP MANOR GROUP LLC (NPI# 1508019548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508019548 |
| Entity Type | Organization |
| Organization Name | FRIENDSHIP MANOR GROUP LLC |
| Practice Address |
485 S Friendship Dr Nashville IL 62263-1363 |
| Practice Telephone | 6183273041 |
| Practice Fax Number | 6183274001 |
| Mailing Telephone | 6183273041 |
| Mailing Fax Number | 6183274001 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2014-04-23 |
| Authorized Official Name | MRS. KIMBERLY DAVIS SMITH (CFO/OWNER) |
| Authorized Official Telephone | 7315884302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063666949 | Friendship Manor Group LLC | Skilled Nursing Facility | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2008-11-05 |
| Street Address |
485 S FRIENDSHIP DR |
| City | NASHVILLE |
| State | IL |
| Zip Code | 62263-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871582916 | Friendship Manor Investors LLC | Skilled Nursing Facility | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2005-10-20 |
| 1033695234 | Abigail Elisabeth Ingenrieth | Physical Therapy Assistant | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2018-07-11 |
| 1578080206 | Raquel Lemanski | Occupational Therapy Assistant | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2017-08-23 |
| 1033594361 | Jamie Murfin | Physical Therapist | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2015-07-28 |
| 1114320264 | Savanah Sinn | Physical Therapy Assistant | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2014-10-03 |
| 1366867921 | Roxanne Kohlbrecher | Occupational Therapist | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2014-02-19 |
| 1578993986 | Mary Rice | Physical Therapy Assistant | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2013-11-21 |
| 1912250853 | Raeanna Beth Conant | Physical Therapy Assistant | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2012-10-16 |
| 1891042321 | Michael J Hanson | Physical Therapist | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2012-08-15 |
| 1427306901 | Crystal G Cathcart | Physical Therapy Assistant | 485 S Friendship Dr, Nashville, IL 62263-1363 | 2012-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518407998 | Betty Lou Birchett | Licensed Practical Nurse | 18429 Conservation Drive, Nashville, IL 62263 | 2017-03-03 |
| 1366740219 | Pamela S Lowry | Nurse Practitioner | 705 S. Grand Ave, Nashville, IL 62263 | 2011-03-02 |
| 1639364490 | Donna Trang Nguyen | Dentist | 520 East St Louis Street, Nashville, IL 62263 | 2007-09-13 |
| 1841297413 | Hyet Leslie Settlemoir | Internal Medicine | 705 S Grand St, Nashville, IL 62263 | 2005-06-28 |
| 1114205770 | Jennifer L Pennington | Physical Therapist | 3 Windswept Dr, Nashville, IL 62263 | 2011-08-01 |
| 1144296195 | Rodney Alan Small | Chiropractor | 1527 South Mill Street, Nashville, IL 62263-0027 | 2006-02-28 |
| 1891823662 | Washington County Vocational Workshop | Community/Behavioral Health | 781 E. Holzhauer Dr., Nashville, IL 62263-0273 | 2007-03-01 |
| 1457575243 | Developmental Management, Inc. | Nursing Facility/Intermediate Care Facility | 618 W Goodner St, Nashville, IL 62263-1009 | 2007-04-12 |
| 1144629718 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 618 W Goodner St, Nashville, IL 62263-1009 | 2014-08-19 |
| 1780734293 | County of Washington | Ambulance | 160 N West Court St, Nashville, IL 62263-1128 | 2007-01-10 |
| Find all providers in zip 62263 | ||||
| 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 |
|---|---|---|---|---|
| 1780040139 | Nhc Place At The Trace LLC | Skilled Nursing Facility | 8353 Highway 100, Nashville, TN 37221-4009 | 2016-01-14 |
| 1568705465 | Trevecca H&r Nursing, LLC | Skilled Nursing Facility | 329 Murfreesboro Pike, Nashville, TN 37210-2834 | 2013-03-29 |
| 1063627487 | Intelligent Therapy Staffing, Inc. | Skilled Nursing Facility | 2759 Rosedale Pl, Nashville, TN 37211-2080 | 2007-05-11 |
| 1679612162 | Omni Visions, Inc. | Skilled Nursing Facility | 301 South Perimeter Park Drive, Suite 110, Nashville, TN 37211 | 2007-02-05 |
| 1467599563 | Vanderbilt University | Skilled Nursing Facility | 1161 21st Avenue, South, S-7400 Medical Center North, Nashville, TN 37232 | 2007-01-30 |
| 1083782080 | Benson Nursing Home, Inc | Skilled Nursing Facility | 1315 S Hutchinson St, Nashville, AR 71852-3259 | 2006-11-30 |
| 1629179296 | Orion Nashville LLC | Skilled Nursing Facility | 701 Porter Rd, Nashville, TN 37206-1743 | 2006-09-26 |
| 1063462224 | River Park Health Care LLC | Skilled Nursing Facility | 1306 Katie St, Nashville, TN 37207-5318 | 2006-05-10 |
| 1982673679 | Bn Healthcare, LLC | Skilled Nursing Facility | 1022 Eastern Ave, Nashville, NC 27856-1718 | 2006-03-15 |
| 1396724845 | Vanguard of Crestview, LLC | Skilled Nursing Facility | 2030 25th Ave N, Nashville, TN 37208 | 2006-01-12 |
| Find all providers in NASHVILLE | ||||
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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.