VILLAGE HEALTH CARE MANAGEMENT LLC (NPI# 1003809922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003809922 |
| Entity Type | Organization |
| Organization Name | VILLAGE HEALTH CARE MANAGEMENT LLC |
| Other Organization Name | LAWRENCEVILLE MANOR |
| Practice Address |
2101 James St Lawrenceville IL 62439-2027 |
| Practice Telephone | 6199433444 |
| Practice Fax Number | 6189432853 |
| Mailing Telephone | 6199433444 |
| Mailing Fax Number | 6189432853 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | ASHLI WESLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 6189433444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0046656 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 370673519002 | 05 |
| Other Name | Type Code |
|---|---|
| Lawrenceville Manor | Former Legal Business Name - Organization |
| Street Address |
2101 JAMES ST |
| City | LAWRENCEVILLE |
| State | IL |
| Zip Code | 62439-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740747864 | Jamie Keepes | Occupational Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-02-25 |
| 1356807291 | Jason Charles Reinhard | Physical Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-02-15 |
| 1548725914 | Courtney M Holloway | Occupational Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-02-09 |
| 1174087654 | Ryan M Hawkins | Physical Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-01-29 |
| 1568926731 | Ashley Wiseman | Occupational Therapy Assistant | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-01-22 |
| 1831663095 | Amber Newlin | Physical Medicine & Rehabilitation | 2101 James St, Lawrenceville, IL 62439-2027 | 2019-01-21 |
| 1437699303 | United Methodist Village North Campus | Skilled Nursing Facility | 2101 James St, Lawrenceville, IL 62439-2027 | 2017-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406590 | Allyson Fiscus | Nurse Practitioner | 11020 Il-250, Lawrenceville, IL 62439 | 2020-08-06 |
| 1164071700 | Lauren E Welton | Case Manager/Care Coordinator | 11362 Country Club Road, Lawrenceville, IL 62439 | 2019-09-06 |
| 1962063354 | Connie Deckard | Counselor | Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439 | 2019-06-26 |
| 1225485527 | Megan Joergens | Social Worker | 11120 State Route 250, Lawrenceville, IL 62439 | 2016-05-17 |
| 1235509456 | Christy M Wimberly | Private Vehicle | 1417 Dubios St., Lawrenceville, IL 62439 | 2015-09-30 |
| 1144637521 | Joy Singson Uy | Physical Therapist | 2101 James St United Methodist Village North, Lawrenceville, IL 62439 | 2014-07-17 |
| 1760791792 | Lawrence Co | Secured Medical Transport (VAN) | 2009 Lexington Ave, Lawrenceville, IL 62439 | 2010-09-24 |
| 1134358922 | Lawrence County Health Department | Public Health or Welfare | Rural Route3 Box 430, Lawrenceville, IL 62439 | 2009-07-14 |
| 1366678161 | Judith Joan Phipps | Counselor | Rr1 Box 277, Lawrenceville, IL 62439 | 2009-06-08 |
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| Find all providers in zip 62439 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548620701 | Wishing Well Adult Day Health Care, LLC | Nursing Facility/Intermediate Care Facility | 3450 Princeton Pike Ste 120, Lawrenceville, NJ 08648-1206 | 2016-03-02 |
| 1558354472 | United Methodist Village Inc | Nursing Facility/Intermediate Care Facility | 1616 Cedar St, Lawrenceville, IL 62439-2154 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386094068 | Icg Home Health | Nursing Facility/Intermediate Care Facility | 4508 Camden Ct, Richton Park, IL 60471-1147 | 2016-06-14 |
| 1871999078 | Midwest Health Operations LLC | Nursing Facility/Intermediate Care Facility | 3601 16th Ave, Sterling, IL 61081-4059 | 2014-11-15 |
| 1437410891 | Mado Healthcare | Nursing Facility/Intermediate Care Facility | 1541 North Wells, Chicago, IL 60610-1307 | 2012-06-01 |
| 1134405392 | Faith Community Health Services, Inc | Nursing Facility/Intermediate Care Facility | 4449 177th St, Country Club Hills, IL 60478-4705 | 2011-11-01 |
| 1215188487 | Petersen Health Care, Inc | Nursing Facility/Intermediate Care Facility | 144 Jounior Ave., Kewanee, IL 61443 | 2008-10-07 |
| 1699936054 | Pinckneyville Healthcare Center | Nursing Facility/Intermediate Care Facility | 708 Virginia Ct, Pinckneyville, IL 62274-1538 | 2008-06-18 |
| 1184894412 | Parents and Friends of The Slc-home 1 | Nursing Facility/Intermediate Care Facility | 3 Gundlach Pl, Swansea, IL 62226-4227 | 2008-03-03 |
| 1740463074 | St. Joseph's Home of Springfield | Nursing Facility/Intermediate Care Facility | 3306 S 6th Street Rd, Springfield, IL 62703-4735 | 2007-12-10 |
| 1821283573 | Royal Living Center Inc | Nursing Facility/Intermediate Care Facility | 200 South 9th Street, New Baden, IL 62265 | 2007-09-06 |
| 1235323841 | Parents and Friends of Slc | Nursing Facility/Intermediate Care Facility | 1450 Caseyville Ave, Swansea, IL 62226-4517 | 2007-08-28 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 62439 |
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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.