JAMESTOWN MANOR INC (NPI# 1891828083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891828083 |
| Entity Type | Organization |
| Organization Name | JAMESTOWN MANOR INC |
| Other Organization Name | FAIRVIEW NURSING & REHABILITATION CENTER INC |
| Practice Address |
602 E Jackson St Du Quoin IL 62832-2429 |
| Practice Telephone | 6185423441 |
| Practice Fax Number | 6185426351 |
| Mailing Telephone | 6185423441 |
| Mailing Fax Number | 6185426351 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DIANA KINGTON (PRESIDENT) |
| Authorized Official Telephone | 6185498331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| FAIRVIEW NURSING & REHABILITATION CENTER INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077953 | Jamestown Manor Inc | Nursing Facility/Intermediate Care Facility | 602 E Jackson St, Du Quoin, IL 62832-2429 | 2005-07-19 |
| Street Address |
602 E JACKSON ST |
| City | DU QUOIN |
| State | IL |
| Zip Code | 62832-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077953 | Jamestown Manor Inc | Nursing Facility/Intermediate Care Facility | 602 E Jackson St, Du Quoin, IL 62832-2429 | 2005-07-19 |
| 1730748575 | Fairview Rehabilitation & Healthcare LLC | Skilled Nursing Facility | 602 E Jackson St, Du Quoin, IL 62832-2429 | 2019-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618859 | Jarrett Alexander Edwards | Pharmacist | 215 Grant Way Wal Mart Pharmacy, Du Quoin, IL 62832 | 2018-11-14 |
| 1932687944 | Gold Plate Program of Perry County | In Home Supportive Care | 721 N Hickory St, Du Quoin, IL 62832 | 2018-08-01 |
| 1972833770 | Danielle Klump | Nurse Practitioner | 900 N Washington Street, Du Quoin, IL 62832 | 2009-12-30 |
| 1003017849 | Heather Richelman | Physical Therapist | 900 N. Washington, Duquoin, IL 62832 | 2007-05-30 |
| 1295954600 | Duquoin Comm Unit Dist 300 | Clinic/Center | 845 East Jackson Street, Duquoin, IL 62832 | 2007-04-24 |
| 1427106426 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | Us Hwy 51 S Rr 2, Duquion, IL 62832 | 2007-01-08 |
| 1659475879 | Southern Illinois Surgical Appliance Co | Durable Medical Equipment & Medical Supplies | 207 East Main St, Duquoin, IL 62832 | 2006-09-08 |
| 1801909700 | Edward Clay Travis | Family Medicine | 900 N. Washington St, Du Quoin, IL 62832 | 2006-08-16 |
| 1871505941 | John Wesley Melvin | Chiropractor | 420 South Washington St, Duquoin, IL 62832 | 2006-08-13 |
| 1730133505 | Patrick L Riley | Family Medicine | 119 Gas Plant Road, Rea Clinic Duquoin, Duquoin, IL 62832 | 2006-05-19 |
| Find all providers in zip 62832 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851445621 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 821 S Washington St, Du Quoin, IL 62832-1909 | 2007-01-22 |
| 1710372750 | Med Motion Supply LLC | Durable Medical Equipment & Medical Supplies | 217 E Main St, Du Quoin, IL 62832-1424 | 2015-04-06 |
| 1023142924 | Fair Acres Nursing Home Inc | Durable Medical Equipment & Medical Supplies | 514 E Jackson St, Du Quoin, IL 62832-2427 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730250 | Quantum Prosthetics & Orthotics | Durable Medical Equipment & Medical Supplies | 9050 W 81st St Ste 300, Justice, IL 60458-1350 | 2020-11-05 |
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1538768882 | Elect Logistics LLC | Durable Medical Equipment & Medical Supplies | 1318 S 61st Ave, Cicero, IL 60804-1011 | 2020-10-19 |
| 1679170757 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 5201 Walnut Ave Ste 6, Downers Grove, IL 60515-4071 | 2020-10-02 |
| 1588271910 | Cell Store One1 Inc | Durable Medical Equipment & Medical Supplies | 3727 Highknob Cir, Naperville, IL 60564-4423 | 2020-09-29 |
| 1689281131 | Chloe Powell | Durable Medical Equipment & Medical Supplies | 307 W Park Dr Apt B, Belleville, IL 62226-4753 | 2020-09-29 |
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1568077212 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 East 9th Street, Ortho/spine Suite 103, Lockport, IL 60441-6044 | 2020-09-10 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.