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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 1674035 | IL | Nursing & Custodial Care Facilities |
Street Address |
101 W WINDSOR RD |
City | URBANA |
State | IL |
Zip Code | 61802-6663 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932756186 | Guadalupe Guzman | Technician | 3205 E Airport Rd, Urbana, IL 61802 | 2019-08-22 |
1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
1447769591 | Joe Mata | Non-emergency Medical Transport (VAN) | 606 Oakland Ave Apt 212, Urbana, IL 61802 | 2017-09-20 |
1326423153 | Allison Donald | Occupational Therapy Assistant | 500 Bartell Rd., Urbana, IL 61802 | 2015-07-22 |
1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
1881962744 | Nataly Briceno Guerrero | Occupational Therapist | 805 S Sunny Lane, Urbana, IL 61802 | 2011-12-07 |
1184917643 | Melody Meyer | Physical Therapy Assistant | 1704 E Amber Glenn Road, Urbana, IL 61802 | 2011-05-17 |
1265736110 | Blueprint | Social Worker | 2704 Boulder Drive, Suite B, Urbana, IL 61802 | 2011-01-07 |
1497989040 | Jennifer Renee Davis | Rehabilitation Counselor | 1513 County Rd 2300 North, Urbana, IL 61802 | 2009-05-12 |
1356543060 | Shan Brown | Nurse Practitioner | 2158 C.r. 1900 E., Urbana, IL 61802 | 2007-06-04 |
Find all providers in zip 61802 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316982119 | Heartland of Urbana Oh LLC | Skilled Nursing Facility | 741 E Water St, Urbana, OH 43078-2156 | 2006-06-17 |
1982648150 | Helia Healthcare of Urbana, LLC | Skilled Nursing Facility | 907 N Lincoln Ave, Urbana, IL 61801-1526 | 2006-06-16 |
1164988523 | University Rehabilitation Center of C-u LLC | Skilled Nursing Facility | 500 Art Bartell Rd, Urbana, IL 61802-2888 | 2019-02-11 |
1912440678 | Urbana Healthcare Group, LLC | Skilled Nursing Facility | 741 E Water St, Urbana, OH 43078-2156 | 2016-11-29 |
1497926489 | Vancrest of Urbana, Inc | Skilled Nursing Facility | 2380 S Us Highway 68, Urbana, OH 43078-9470 | 2008-03-18 |
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1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
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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.