MARKLUND MILL CREEK HOME 3 (NPI# 1760649966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760649966 |
| Entity Type | Organization |
| Organization Name | MARKLUND MILL CREEK HOME 3 |
| Practice Address |
1s381 Wyatt Dr Geneva IL 60134-4921 |
| Mailing Address |
1s450 Wyatt Dr Geneva IL 60134-4921 |
| Practice Telephone | 6305935500 |
| Mailing Telephone | 3605935500 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | MR. JOEL RUSCO (CEO/PRESIDENT) |
| Authorized Official Telephone | 6305935500 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARKLUND CHILDRENS HOME |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 000047258 | IL | Nursing & Custodial Care Facilities |
| Street Address |
1S381 WYATT DR |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) 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. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922564376 | 599 West Main Corporation | Intermediate Care Facility, Mentally Retarded | 609 West Main Street, Geneva, OH 44041 | 2019-02-11 |
| 1669849584 | Equal Opportunity Housing, LLC | Intermediate Care Facility, Mentally Retarded | 1070 Millwood Dr, Geneva, OH 44041-7787 | 2015-08-26 |
| 1801226535 | Driftwood Inspirations | Intermediate Care Facility, Mentally Retarded | 236 Walnut Street, Geneva, OH 44041-1361 | 2013-11-15 |
| 1275887713 | Equal Opportunity Housing, LLC | Intermediate Care Facility, Mentally Retarded | 1200 Sawyer Drive, Geneva, OH 44041 | 2012-11-06 |
| 1043564768 | Equal Opportunity Housing, LLC | Intermediate Care Facility, Mentally Retarded | 106 Elm St, Geneva, OH 44041-1004 | 2012-11-02 |
| 1558612721 | 599 West Manor Corp. | Intermediate Care Facility, Mentally Retarded | 589 West Main Street, Geneva, OH 44041-1361 | 2012-09-27 |
| 1851558050 | Marklund Sayers Home | Intermediate Care Facility, Mentally Retarded | 1s383 Wyatt Dr, Geneva, IL 60134-4921 | 2008-05-16 |
| 1124285325 | Marklund Tommy Home | Intermediate Care Facility, Mentally Retarded | 1s385 Wyatt Dr, Geneva, IL 60134-4921 | 2008-05-16 |
| 1124285382 | Marklund Vandermolen Home | Intermediate Care Facility, Mentally Retarded | 1s406 Wyatt Dr, Geneva, IL 60134-4921 | 2008-05-16 |
| 1770740979 | Marklund Richard Home | Intermediate Care Facility, Mentally Retarded | 1s410 Wyatt Dr, Geneva, IL 60134-4921 | 2008-05-16 |
| Find all providers in GENEVA | ||||
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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.