ST. JOSEPH'S HOME OF SPRINGFIELD (NPI# 1740463074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740463074 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH'S HOME OF SPRINGFIELD |
| Practice Address |
3306 S 6th Street Rd Springfield IL 62703-4735 |
| Practice Telephone | 2175295596 |
| Practice Fax Number | 2175850104 |
| Mailing Telephone | 2175295596 |
| Mailing Fax Number | 2175850104 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | SR. JUDITH MORRIS (ADMINISTRATOR) |
| Authorized Official Telephone | 2175295596 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0013839 | IL | Nursing & Custodial Care Facilities |
| Street Address |
3306 S 6TH STREET RD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-4735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659497774 | Oak Terrace Healthcare Center, Inc. | Nursing Facility/Intermediate Care Facility | 1750 W Washington St, Springfield, IL 62702-4759 | 2007-03-21 |
| 1750468237 | Springfield Health Care Operating Company, LLC | Nursing Facility/Intermediate Care Facility | 404 E. Mccreight Ave., Springfield, OH 45503 | 2006-11-01 |
| 1932183134 | Christian Care Center of Springfield LLC | Nursing Facility/Intermediate Care Facility | 704 5th Ave E, Springfield, TN 37172-2604 | 2005-12-01 |
| 1053302695 | Southeast Colorado Hospital District | Nursing Facility/Intermediate Care Facility | 373 East 10th Avenue, Springfield, CO 81073-1622 | 2005-11-02 |
| 1902804305 | Springfield Terrace, Ltd | Nursing Facility/Intermediate Care Facility | 525 S Martin Luther King Jr Dr, Springfield, IL 62703-1317 | 2005-07-08 |
| 1114272374 | Select Rehab | Nursing Facility/Intermediate Care Facility | 1707 W Elfindale St, Springfield, MO 65807-1246 | 2012-07-13 |
| 1053627448 | Springfield Care Center, LLC | Nursing Facility/Intermediate Care Facility | 525 S Martin Luther King Jr Dr, Springfield, IL 62703-1317 | 2010-08-24 |
| 1598905838 | Springfield Healthcare Group Inc | Nursing Facility/Intermediate Care Facility | 404 E Mccreight Ave, Springfield, OH 45503-3653 | 2009-02-26 |
| 1538379581 | Memorial Medical Center | Nursing Facility/Intermediate Care Facility | 701 N 1st St, Springfield, IL 62702-3757 | 2007-05-22 |
| 1245447762 | Nancy M Paquette | Nursing Facility/Intermediate Care Facility | 136 William St, Springfield, MA 01105-2324 | 2007-05-16 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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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.