NEW ATHENS HOME FOR THE AGED INC (NPI# 1013986439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013986439 |
| Entity Type | Organization |
| Organization Name | NEW ATHENS HOME FOR THE AGED INC |
| Practice Address |
203 S Johnson St New Athens IL 62264-1319 |
| Practice Telephone | 6184752550 |
| Practice Fax Number | 6184752567 |
| Mailing Telephone | 6184752550 |
| Mailing Fax Number | 6184752567 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2013-08-06 |
| Authorized Official Name | MR. GARY WYNN HOLTGREWE (ADMINISTRATOR) |
| Authorized Official Telephone | 6184752550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0033043 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PUBLIC HEALTH ID # | 14E299 | 01 |
| IL | 14-0061 | 05 |
| Street Address |
203 S JOHNSON ST |
| City | NEW ATHENS |
| State | IL |
| Zip Code | 62264-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659740389 | Courtnie Douglas | Physical Therapy Assistant | 501 Chester St Apt 5, New Athens, IL 62264-1218 | 2015-09-23 |
| 1558818690 | Lindsey Lehr | Speech-Language Pathologist | 300 S Clinton St, New Athens, IL 62264-1412 | 2016-09-07 |
| 1578199980 | Robin Marion Gunter | Nurse Practitioner | 100 S Jackson St, New Athens, IL 62264-1416 | 2020-03-17 |
| 1841620960 | Freeburg Pharmacy Prof Corp | Pharmacy | 901 Spotsylvania St, New Athens, IL 62264-1569 | 2013-11-27 |
| 1194863977 | Village of New Athens | Emergency Medical Technician, Basic | 301 S. Van Buren St., New Anthens, IL 62264-1569 | 2007-02-02 |
| 1679607147 | Joseph J Harper | Social Worker | 513 Church St, New Athens, IL 62264-1584 | 2007-03-15 |
| 1710930177 | David P. Schwartz | Family Medicine | 1002 Spotsylvania St, New Athens, IL 62264-1597 | 2006-05-18 |
| 1801109004 | Pc Associates, LLC | Family Medicine | 1002 Spotsylvania St, New Athens, IL 62264-1597 | 2010-07-16 |
| 1154579878 | Kent D. Mcconnell | Dentist | 1002 Spotsylvania St, New Athens, IL 62264-1597 | 2008-09-05 |
| 1619151776 | Derek A Niehaus | Chiropractor | 1002 Spotsylvania St, New Athens, IL 62264-1597 | 2007-12-26 |
| Find all providers in zip 62264 | ||||
| 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 |
|---|---|---|---|---|
| 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 | NEW ATHENS |
| Zip Code | 62264 |
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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.