GOOD SAMARITAN NURSING HOME (NPI# 1568483329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568483329 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN NURSING HOME |
| Practice Address |
407 N Hebard Street Knoxville IL 61448 |
| Practice Telephone | 3092892614 |
| Practice Fax Number | 3092898847 |
| Mailing Telephone | 3092892614 |
| Mailing Fax Number | 3092898847 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LINDA D COOK (ADMINISTRATOR) |
| Authorized Official Telephone | 3092892614 |
| Authorized Official Credential | RN ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | IL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0001107 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639138134 | Good Samaritan Nursing Home | Nursing Facility/Intermediate Care Facility | 407 N Hebard St, Knoxville, IL 61448-1174 | 2006-03-22 |
| 1003817248 | Good Samaritan Nursing Home | Skilled Nursing Facility | 403 W Main St, Cole Camp, MO 65325-1144 | 2005-08-10 |
| Street Address |
407 N HEBARD STREET |
| City | KNOXVILLE |
| State | IL |
| Zip Code | 61448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801980826 | Steven D Shonkwiler | Orthopaedic Surgery | 513 Newman St, Knoxville, IL 61448 | 2006-10-03 |
| 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 |
| 1326035304 | County of Knox | Skilled Nursing Facility | 800 N Market St, Knoxville, IL 61448-1096 | 2005-10-04 |
| 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 |
| 1033354725 | Knox County Nursing Home | Skilled Nursing Facility | 800 N Market St, Knoxville, IL 61448-1096 | 2008-12-09 |
| 1912550302 | Katherine Michele Morrissey | Occupational Therapist | 800 N Market St, Knoxville, IL 61448-1097 | 2019-07-24 |
| 1639138134 | Good Samaritan Nursing Home | Nursing Facility/Intermediate Care Facility | 407 N Hebard St, Knoxville, IL 61448-1174 | 2006-03-22 |
| Find all providers in zip 61448 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366436453 | Four Fountains Convalescent Center | Nursing Home Administrator | 101 S Belt W, Belleville, IL 62220-2503 | 2005-09-06 |
| 1760830673 | Monica Plymale | Nursing Home Administrator | 4401 N Main St, Rockford, IL 61103-1277 | 2016-06-01 |
| 1942658315 | John Bernadyn | Nursing Home Administrator | 1407 Belleview Ave, Rockdale, IL 60436-2533 | 2016-05-26 |
| 1104215573 | Laura Booker | Nursing Home Administrator | 12525 Renaissance Cir, Homer Glen, IL 60491-5896 | 2015-01-22 |
| 1437354008 | Dale J Purvis | Nursing Home Administrator | 3333 Beverly Rd, Hoffman Estates, IL 60179-0001 | 2007-06-15 |
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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.