ROYAL LIVING CENTER INC (NPI# 1821283573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821283573 |
Entity Type | Organization |
Organization Name | ROYAL LIVING CENTER INC |
Practice Address |
200 South 9th Street New Baden IL 62265 |
Practice Telephone | 6185887295 |
Practice Fax Number | 6185887290 |
Mailing Telephone | 6185887295 |
Mailing Fax Number | 6185887290 |
Enumeration Date | 2007-09-06 |
Last Update Date | 2007-09-06 |
Authorized Official Name | MS. DOLORES JEAN KREBS (ADMINISTRATOR) |
Authorized Official Telephone | 6185887295 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 0039743 | 05 |
Street Address |
200 SOUTH 9TH STREET |
City | NEW BADEN |
State | IL |
Zip Code | 62265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801013966 | Carol Bair | Developmental Therapist | 201 Peach Ln, New Baden, IL 62265-1107 | 2007-04-19 |
1316420219 | Georgina Zurliene | Speech-Language Pathologist | 642 Plum Ln, New Baden, IL 62265-1156 | 2018-09-07 |
1285993774 | Laura Arnold | Speech-Language Pathologist | 1000 Peach St, New Baden, IL 62265-1165 | 2012-05-03 |
1245545029 | Michael Harold Jones | Dentist | 214 N Franklin St, New Baden, IL 62265-1233 | 2010-08-17 |
1164442224 | William G Koentz | Dentist | 9 N 1st St, New Baden, IL 62265-1326 | 2006-07-20 |
1497817381 | Ky Four Inc | Pharmacy | 450 W Hanover St, New Baden, IL 62265-1658 | 2006-12-15 |
1669535019 | Village of New Baden | Ambulance | 1 E Hanover St, New Baden, IL 62265-1807 | 2006-12-18 |
1932103348 | Michelle Kujawa | Physical Therapist | 211 E Hanover St, New Baden, IL 62265-1811 | 2005-06-13 |
1740710441 | Mallory Rinderer | Nurse Practitioner | 211 E Hanover St, New Baden, IL 62265-1811 | 2017-06-14 |
1700314945 | Alison Joye Miller | Nurse Practitioner | 211 E Hanover St, New Baden, IL 62265-1811 | 2017-06-01 |
Find all providers in zip 62265 |
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 |
---|---|---|---|---|
1386094068 | Icg Home Health | Nursing Facility/Intermediate Care Facility | 4508 Camden Ct, Richton Park, IL 60471-1147 | 2016-06-14 |
1871999078 | Midwest Health Operations LLC | Nursing Facility/Intermediate Care Facility | 3601 16th Ave, Sterling, IL 61081-4059 | 2014-11-15 |
1437410891 | Mado Healthcare | Nursing Facility/Intermediate Care Facility | 1541 North Wells, Chicago, IL 60610-1307 | 2012-06-01 |
1134405392 | Faith Community Health Services, Inc | Nursing Facility/Intermediate Care Facility | 4449 177th St, Country Club Hills, IL 60478-4705 | 2011-11-01 |
1215188487 | Petersen Health Care, Inc | Nursing Facility/Intermediate Care Facility | 144 Jounior Ave., Kewanee, IL 61443 | 2008-10-07 |
1699936054 | Pinckneyville Healthcare Center | Nursing Facility/Intermediate Care Facility | 708 Virginia Ct, Pinckneyville, IL 62274-1538 | 2008-06-18 |
1184894412 | Parents and Friends of The Slc-home 1 | Nursing Facility/Intermediate Care Facility | 3 Gundlach Pl, Swansea, IL 62226-4227 | 2008-03-03 |
1740463074 | St. Joseph's Home of Springfield | Nursing Facility/Intermediate Care Facility | 3306 S 6th Street Rd, Springfield, IL 62703-4735 | 2007-12-10 |
1235323841 | Parents and Friends of Slc | Nursing Facility/Intermediate Care Facility | 1450 Caseyville Ave, Swansea, IL 62226-4517 | 2007-08-28 |
1629276225 | Elizabeth Nursing Home Corp | Nursing Facility/Intermediate Care Facility | 540 Pleasant St, Elizabeth, IL 61028-9508 | 2007-07-05 |
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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.