MENARD CONVALESCENT CENTER, INC


Address: 120 W Antle St, Petersburg, IL 62675-1035
Phone: 2176322249

MENARD CONVALESCENT CENTER, INC (NPI# 1003068776) 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) 1003068776
Entity Type Organization
Organization Name MENARD CONVALESCENT CENTER, INC
Practice Address 120 W Antle St
Petersburg
IL 62675-1035
Mailing Address 2653 W Lawrence Ave Ste B
Springfield
IL 62704-1115
Practice Telephone 2176322249
Practice Fax Number 2176327810
Mailing Telephone 2177878530
Mailing Fax Number 2177859840
Enumeration Date 2008-10-14
Last Update Date 2008-10-14
Authorized Official Name JERRY W JENNINGS (CONTROLLER)
Authorized Official Telephone 2177878530
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 0003020 IL Nursing & Custodial Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720035611 Menard Convalescent Center, Inc Skilled Nursing Facility 120 W Antle St, Petersburg, IL 62675-1035 2006-05-27

Office Location

Street Address 120 W ANTLE ST
City PETERSBURG
State IL
Zip Code 62675-1035

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720035611 Menard Convalescent Center, Inc Skilled Nursing Facility 120 W Antle St, Petersburg, IL 62675-1035 2006-05-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962519405 Porta Comm. Unit District 202 Local Education Agency (LEA) 17651 Bluejay Road, Petersburg, IL 62675 2006-08-23
1295704021 Menard County Health Department Home Health 1120 N 4th, Suite A, Petersburg, IL 62675 2006-03-15
1528106812 County of Menard Public Health or Welfare 1120 N 4th St, Suite A, Petersburg, IL 62675-1115 2007-02-01
1922478916 Ashleigh Renee Smith Private Vehicle 703 N 7th St, Petersburg, IL 62675-1144 2015-10-02
1952872269 Abbey Lynn Venturini Social Worker 323 W Rutledge St, Petersburg, IL 62675-1239 2018-12-12
1285936872 Donald P. Hartman Dentist 213 N 5th, Petersburg, IL 62675-1303 2010-12-02
1114197514 Paul Douglas Davis Dentist 213 N 5th St, Petersburg, IL 62675-1303 2008-03-03
1619091238 Donald Paul Hartman Dentist 213 N 5th St, Petersburg, IL 62675-1303 2007-03-19
1114164498 Michael Gensler Chiropractor 110 E. Sheridan Rd, Petersburg, IL 62675-1340 2009-01-08
1932317799 Mary N Hollis Registered Nurse 715 W Jackson St, Petersburg, IL 62675-1436 2007-05-17
Find all providers in zip 62675

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497922843 Dinwiddie Health Care LLC Skilled Nursing Facility 46 Diamond Drive, Petersburg, VA 23803-7495 2008-05-14
1487731477 Good Samaritan Hospital Skilled Nursing Facility 801 E Illinois St, Petersburg, IN 47567-8026 2006-11-01
1497856785 Sunny Acres Skilled Nursing Facility 19130 Sunny Acres Rd, Petersburg, IL 62675-7306 2006-09-26
1619924834 Beverly Enterprises - Virginia, Inc. Skilled Nursing Facility 250 Flank Rd, Petersburg, VA 23805-9117 2006-05-31
1356398572 Beverly Enterprises - Virginia Inc Skilled Nursing Facility 287 E South Blvd, Petersburg, VA 23805-2700 2006-05-31
1720035611 Menard Convalescent Center, Inc Skilled Nursing Facility 120 W Antle St, Petersburg, IL 62675-1035 2006-05-27
1770539546 Hendricks County Hospital Skilled Nursing Facility 309 W Pike Ave, Petersburg, IN 47567-8755 2006-05-25
1740270982 Grant Rehab & Care Center Skilled Nursing Facility 127 Early Avenue, Petersburg, WV 26847-9403 2005-10-27
1245771765 South Leasing (va) Co., LLC Skilled Nursing Facility 287 E South Blvd, Petersburg, VA 23805-2700 2017-03-16
1972044485 Flank Leasing Co., LLC Skilled Nursing Facility 250 Flank Rd, Petersburg, VA 23805-9117 2017-03-16
Find all providers in PETERSBURG

Competitor

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City PETERSBURG
Zip Code 62675

Improve Information

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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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