FOUNTAIN VIEW MANOR LLC


Address: 3432 Village Lane, Granite City, IL 62040
Phone: 6189313999

FOUNTAIN VIEW MANOR LLC (NPI# 1871741462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871741462
Entity Type Organization
Organization Name FOUNTAIN VIEW MANOR LLC
Other Organization Name FOUNTAIN VIEW MANOR MEMORY ARE
Practice Address 3432 Village Lane
Granite City
IL 62040
Practice Telephone 6189313999
Practice Fax Number 6187970857
Mailing Telephone 6189313999
Mailing Fax Number 6187970857
Enumeration Date 2008-09-08
Last Update Date 2008-09-08
Authorized Official Name MISS KAREN TAYLOR (ADMINISTRATOR)
Authorized Official Telephone 6189313999
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Fountain View Manor Memory are Doing Business As Name - Organization

Office Location

Street Address 3432 VILLAGE LANE
City GRANITE CITY
State IL
Zip Code 62040

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043736705 Christine S Bieniecki Canada Speech-Language Pathologist 2300 West 25th St, Granite City, IL 62040 2017-08-15
1881085819 James Watson Counselor 50 Northgate Industrial Drive, Granite City, IL 62040 2015-02-12
1518208719 Chestnut Health Systems Clinic/Center 110 Northagte Industrial Drive, Granite City, IL 62040 2013-03-13
1952651697 Victor Manuel Pinones Dentist 2130 Johnson Rd., Granite City, IL 62040 2012-09-10
1427360502 Erin K Boerm Occupational Therapist 3540 Village Lane, Granite City, IL 62040 2010-07-06
1659503027 Toni Lyn Siler Counselor 101 Whitsell Way, Apt 102, Pontoon Beach, IL 62040 2009-08-18
1083880595 Christina Marie Darin Chiropractor 2013 Johnson Road, Suite C & D, Granite City, IL 62040 2008-05-05
1629244322 Julia Elaine Uhring Green Counselor 2429 Washinton Ave, Granite City, IL 62040 2008-05-02
1578786117 John K Parker Preventive Medicine Veeder Health Center, 20th and Iowa, Granite City, IL 62040 2007-04-11
1538288436 Nicole Diane Canaley Psychiatry & Neurology 2166 Madison Avenue, Granite City, IL 62040 2007-03-29
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Taxonomy Information

Taxonomy Code 311500000X
Grouping Nursing & Custodial Care Facilities
Classification Alzheimer Center (Dementia Center)

Taxonomy Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245846716 Franciscan Communities Inc. II Alzheimer Center (Dementia Center) 11500 Theresa Dr, Lemont, IL 60439-2727 2020-09-21
1447756663 Venus Properties, LLC Alzheimer Center (Dementia Center) 442 Comfort Dr, Marion, IL 62959-4927 2018-04-05
1265985675 Reflection Management Alzheimer Center (Dementia Center) 203 Stahlhut Dr, Lincoln, IL 62656-5019 2016-08-02
1255767166 Lavender Ridge Inc Alzheimer Center (Dementia Center) 1103 N Maple St, Effingham, IL 62401-1793 2013-09-24
1922356922 Prairie Living LLC Alzheimer Center (Dementia Center) 200 W International Ave, Rantoul, IL 61866-3628 2012-08-22
1841555620 Holistic Community Outreach Inc. Alzheimer Center (Dementia Center) 8100 S Western Ave, Chicago, IL 60620-5937 2012-07-09
1578825402 Among Friends Adult Day Care Inc Alzheimer Center (Dementia Center) 13333 Cicero Ave, Crestwood, IL 60445-1427 2012-06-15
1487926622 Memory Care Communities of Illinois, LLC Alzheimer Center (Dementia Center) 710 Vellagio Dr, Sycamore, IL 60178-7800 2012-02-03
1871877597 Gowin Enterprises Inc Alzheimer Center (Dementia Center) 300 Lerna Rd S, Mattoon, IL 61938-9389 2011-09-29
1821324120 Emeritus Corporation Alzheimer Center (Dementia Center) 3315 Executive Dr, Joliet, IL 60431-8500 2009-10-22
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Competitor

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City GRANITE CITY
Zip Code 62040

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Dataset Information

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.

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