TRILOGY HEALTHCARE OF WILL, LLC (NPI# 1750526232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750526232 |
| Entity Type | Organization |
| Organization Name | TRILOGY HEALTHCARE OF WILL, LLC |
| Other Organization Name | ST. JAMES MANOR AND VILLAS |
| Practice Address |
1251 E Richton Rd Crete IL 60417-1623 |
| Practice Telephone | 7086726700 |
| Practice Fax Number | 7083674405 |
| Mailing Telephone | 7086726700 |
| Mailing Fax Number | 7083674405 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2013-11-11 |
| Authorized Official Name | MR. PAUL P PLEVYAK JR. (SVP - FINANCE) |
| Authorized Official Telephone | 5022131710 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRILOGY FSC INVESTORS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1870437 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0045435 | 05 |
| Other Name | Type Code |
|---|---|
| St. James Manor and Villas | Doing Business As Name - Organization |
| Street Address |
1251 E RICHTON RD |
| City | CRETE |
| State | IL |
| Zip Code | 60417-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730127192 | Franciscan Communities, Inc. | Assisted Living Facility | 1251 E Richton Rd, Crete, IL 60417-1623 | 2006-06-04 |
| 1104447382 | Tasha Weatherspoon | Physical Therapist | 1251 E Richton Rd, Crete, IL 60417-1623 | 2020-04-29 |
| 1629617618 | Ashley Teresiak | Physical Therapy Assistant | 1251 E Richton Rd, Crete, IL 60417-1623 | 2019-12-23 |
| 1073085379 | Yash Kaushik | Physical Therapist | 1251 E Richton Rd, Crete, IL 60417-1623 | 2018-12-26 |
| 1861979809 | Rayna Schulteis | Physical Therapy Assistant | 1251 E Richton Rd, Crete, IL 60417-1623 | 2018-07-23 |
| 1740608736 | St James Wellness Rehab and Villas LLC | Skilled Nursing Facility | 1251 E Richton Rd, Crete, IL 60417-1623 | 2014-04-07 |
| 1730270406 | Anwar M Mohiuddin | Physical Medicine & Rehabilitation | 1251 E Richton Rd, Crete, IL 60417-1623 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881120046 | Anthony Ray Kudra IIi | Student in an Organized Health Care Education/Training Program | 860 Berkshire Place, Crete, IL 60417 | 2017-05-10 |
| 1326291998 | Jack Christopher Amram | Dentist | 1285 Main Street, Crete, IL 60417 | 2008-10-28 |
| 1619140514 | Healthy Heart Nurse Inc | Skilled Nursing Facility | 1299 Main Street, Crete, IL 60417 | 2008-04-11 |
| 1902815418 | Leila Mowers | Social Worker | 1321 Main St, Crete, IL 60417 | 2006-08-05 |
| 1336312230 | Beatrice U Maraizu | Registered Nurse | 1299 Main Street, Crete, IL 60417 | 2008-04-11 |
| 1033382932 | Clara C Onyenso | Registered Nurse | 1299 Main Street, Crete, IL 60417 | 2008-04-11 |
| 1841417367 | Rachel Oriel Berg | Psychologist | 116 Cornwall Dr, Crete, IL 60417-1006 | 2007-04-18 |
| 1740644517 | Gregory Cannon | Counselor | 250 Arbon Ct, Crete, IL 60417-1121 | 2016-04-07 |
| 1598396517 | Valerie Kay Rodawold | Occupational Therapist | 215 Brenner Ct, Crete, IL 60417-1122 | 2020-01-29 |
| 1225564941 | Renee D Rogers | Counselor | 3660 Beckwith Ln, Crete, IL 60417-1261 | 2017-05-02 |
| Find all providers in zip 60417 | ||||
| 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 |
|---|---|---|---|---|
| 1619140514 | Healthy Heart Nurse Inc | Skilled Nursing Facility | 1299 Main Street, Crete, IL 60417 | 2008-04-11 |
| 1285755868 | Ssc Crete Operating Company LLC | Skilled Nursing Facility | 830 E 1st St, Crete, NE 68333-3108 | 2007-04-02 |
| 1013300789 | Premier Estates of Crete, LLC | Skilled Nursing Facility | 830 E 1st St, Crete, NE 68333-3108 | 2015-03-05 |
| 1740608736 | St James Wellness Rehab and Villas LLC | Skilled Nursing Facility | 1251 E Richton Rd, Crete, IL 60417-1623 | 2014-04-07 |
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|---|---|---|---|---|
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| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
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| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
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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.