LEWIS MEMORIAL CHRISTIAN VILLAGE


Address: 3400 W Washington St, Springfield, IL 62711-7917
Phone: 2177879600

LEWIS MEMORIAL CHRISTIAN VILLAGE (NPI# 1154638021) 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) 1154638021
Entity Type Organization
Organization Name LEWIS MEMORIAL CHRISTIAN VILLAGE
Practice Address 3400 W Washington St
Springfield
IL 62711-7917
Practice Telephone 2177879600
Mailing Telephone 2177879600
Enumeration Date 2010-09-13
Last Update Date 2010-09-13
Authorized Official Name LAVERNE BROOMFIELD (COTA)
Authorized Official Telephone 2177879600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 057003241 IL Managed Care Organizations

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780991612 Lewis Memorial Christian Village Skilled Nursing Facility 3400 W Washington St, Springfield, IL 62711-7917 2010-09-14
1417264391 Lewis Memorial Christian Village Preferred Provider Organization 3400 W Washington St, Springfield, IL 62711-7917 2010-09-13
1063654937 Lewis Memorial Christian Village Durable Medical Equipment & Medical Supplies 3400 W Washington St, Springfield, IL 62711-7917 2009-03-24
1578589974 Lewis Memorial Christian Village Skilled Nursing Facility 3400 W Washington St, Springfield, IL 62711-7917 2006-07-15

Office Location

Street Address 3400 W WASHINGTON ST
City SPRINGFIELD
State IL
Zip Code 62711-7917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932160009 David M Schneller Physical Therapist 3400 W Washington St, Springfield, IL 62711-7917 2006-03-29
1407337538 Reagan Worth Occupational Therapist 3400 W Washington St, Springfield, IL 62711-7917 2018-08-27
1386124915 Sara J Cox Physical Therapist 3400 W Washington St, Springfield, IL 62711-7917 2018-08-14
1003302274 Barbara Lynn Notz Physical Therapist 3400 W Washington St, Springfield, IL 62711-7917 2018-07-10
1790150530 Samantha Susan Sitki Occupational Therapist 3400 W Washington St, Springfield, IL 62711-7917 2015-12-04
1821407883 Charle Bordeau Speech-Language Pathologist 3400 W Washington St, Springfield, IL 62711-7917 2014-08-04
1235579673 Amruta Pradhan Physical Therapist 3400 W Washington St, Springfield, IL 62711-7917 2013-06-30
1780991612 Lewis Memorial Christian Village Skilled Nursing Facility 3400 W Washington St, Springfield, IL 62711-7917 2010-09-14
1417264391 Lewis Memorial Christian Village Preferred Provider Organization 3400 W Washington St, Springfield, IL 62711-7917 2010-09-13
1891001319 Sarah H Hennemann Physical Therapist 3400 W Washington St, Springfield, IL 62711-7917 2010-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578057220 Merissa Pryor Social Worker 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 2018-06-17
1255884623 Dental Professionals of Illinois, P.C. Dentist 2740 Prairie Crossing Drive, Springfield, IL 62711 2016-08-02
1841682424 Americare At Centennial Pointe Assisted Living LLC Assisted Living Facility 3440 Hedley Road, Springfield, IL 62711 2015-02-19
1306249248 Schon Dental, LLC Dentist 2809 Mansion Road Suite D, Springfield, IL 62711 2014-10-07
1891105490 John Weiss Pharmacist 4200 Conestoga Drive, Springfield, IL 62711 2014-05-05
1720350689 Victor Harold Lary Family Medicine 3251 Spaulding Orchard Road, Springfield, IL 62711 2012-02-07
1902181795 Amanda Rose Davis Pharmacist 2500 Koke Mill Rd, Springfield, IL 62711 2011-10-12
1316233703 Karen Zerkle Dentist 2809 Mansion Rd, Suite D, Springfield, IL 62711 2011-06-23
1255520557 Link Chiropractic LLC Chiropractor 7012 Kingsmill Ct, Springfield, IL 62711 2007-10-23
1669688230 Victoria Lynn Driskill Dentist 4701 W. Wabash Ave, Springfield, IL 62711 2007-05-14
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "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. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316369622 Consolidated Health Plan Preferred Provider Organization 2077 Roosevelt Ave, Springfield, MA 01104-1657 2014-01-07
1316162456 Springfield Orthodontic Associates, Pllc Preferred Provider Organization 6564 Loisdale Ct Ste 325, Springfield, VA 22150-1831 2007-04-16
1487007845 Robert T. Dewar, Dds., PC Preferred Provider Organization 1704 N Robberson Ave, Springfield, MO 65803-2845 2016-07-20
1043622368 Innovative Dental Preferred Provider Organization 3424 S Culpepper Ct, Springfield, MO 65804-3755 2014-05-21
1215372347 Community Health Centers of Lane County Preferred Provider Organization 2073 Olympic St, Springfield, OR 97477-3413 2013-05-02
1417264391 Lewis Memorial Christian Village Preferred Provider Organization 3400 W Washington St, Springfield, IL 62711-7917 2010-09-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972129625 Shawnte Jenkins-alexander, Ed.d. Lcpc. Ltd Preferred Provider Organization 155 N Michigan Ave Ste 328, Chicago, IL 60601-7591 2020-06-18
1134686439 Qualsight LLC Preferred Provider Organization 9525 Bryn Mawr Ave Ste 725, Rosemont, IL 60018-5262 2019-02-23
1053876367 Hope Network Foundation Preferred Provider Organization 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 2019-01-31
1801336441 Emily Edelman Psychotherapy, An Illinois Corporation Preferred Provider Organization 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 2017-03-01
1821549163 Family Dental Practice Preferred Provider Organization 9709 Milwaukee Ave, Glenview, IL 60025-4567 2016-10-21
1548613094 Shaunna R Repa Preferred Provider Organization 2231 Dawson Ln, Algonquin, IL 60102-5983 2016-07-20
1417308081 Mother Dearest Preferred Provider Organization 14214 Woodlawn Ave, Dolton, IL 60419-1316 2016-06-24
1992154991 Demoulin Family Chiropractic, Ltd. Preferred Provider Organization 11danada Square East, Wheaton, IL 60189-8484 2016-06-09
1790131936 Plainfield Pediatric Dental Care PC Preferred Provider Organization 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 2016-05-06
1417310335 The Metro Mentorship Initiative Preferred Provider Organization 1828 N Lowell Ave, Chicago, IL 60639-4818 2016-03-29
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Competitor

Search similar providers

City SPRINGFIELD
Zip Code 62711

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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