CLARK-LINDSEY VILLAGE, INC.


Address: 101 W Windsor Rd, Urbana, IL 61802-6663
Phone: 2173442144

CLARK-LINDSEY VILLAGE, INC. (NPI# 1922003326) 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) 1922003326
Entity Type Organization
Organization Name CLARK-LINDSEY VILLAGE, INC.
Practice Address 101 W Windsor Rd
Urbana
IL 61802-6663
Practice Telephone 2173442144
Practice Fax Number 2173449147
Mailing Telephone 2173442144
Mailing Fax Number 2173449147
Enumeration Date 2005-06-14
Last Update Date 2020-08-22
Authorized Official Name MRS. DEBRA REARDANZ (VICE PRESIDENT/CFO)
Authorized Official Telephone 2173442144
Authorized Official Credential C.P.A.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 1674035 IL Nursing & Custodial Care Facilities

Office Location

Street Address 101 W WINDSOR RD
City URBANA
State IL
Zip Code 61802-6663

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457889636 Victoria Ting Speech-Language Pathologist 101 W Windsor Rd, Urbana, IL 61802-6663 2017-05-31
1033565882 Clark-lindsey Village Inc. Clinic/Center 101 W Windsor Rd, Urbana, IL 61802-6663 2016-05-11
1588904692 Elizabeth Anne Peterson Speech-Language Pathologist 101 W Windsor Rd, Urbana, IL 61802-6663 2013-02-26

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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

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Competitor

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City URBANA
Zip Code 61802

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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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