COMMUNITY RETIREMENT, INC.


Address: 423 S Eberhardt Dr, Arthur, IL 61911-1224
Phone: 2175432103

COMMUNITY RETIREMENT, INC. (NPI# 1194721969) 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) 1194721969
Entity Type Organization
Organization Name COMMUNITY RETIREMENT, INC.
Other Organization Name THE ARTHUR HOME
Practice Address 423 S Eberhardt Dr
Arthur
IL 61911-1224
Practice Telephone 2175432103
Practice Fax Number 2175432278
Mailing Telephone 2175432103
Mailing Fax Number 2175432278
Enumeration Date 2005-06-24
Last Update Date 2011-10-18
Authorized Official Name MR. DAVID EVERSOLE (ADMINISTRATOR)
Authorized Official Telephone 2175432103
Authorized Official Credential LNHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 0005462 IL Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL LICENSE-IL PUBLIC HEALTH 0005462 01

Other Provider/Organization Names

Other Name Type Code
The Arthur Home Doing Business As Name - Organization

Office Location

Street Address 423 S EBERHARDT DR
City ARTHUR
State IL
Zip Code 61911-1224

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508301706 Southern Illinois Health Care Foundation, Inc. Counselor 1710 State Route 133, Arthur, IL 61911 2016-12-23
1568522605 James E Winfield Dentist 318 South Ash, Arthur, IL 61911 2006-12-11
1356999262 Shawna L Storm Nurse Practitioner 1710 State Route 133, Arthur, IL 61911 2019-09-04
1720164502 Michael George Elder Chiropractor 426 North Vine Street, Arthur, IL 61911-1121 2006-10-27
1336664705 Kelli D Canada Social Worker 525 N Vine St, Arthur, IL 61911-1130 2017-08-07
1134660590 Kendra Zerrusen Nurse Practitioner 525 N Vine St, Arthur, IL 61911-1130 2017-03-17
1720419336 Brittany Faris Physician Assistant 525 N Vine St, Arthur, IL 61911-1130 2013-12-06
1164418067 William H Shackelford Md Family Medicine 525 N Vine St, Arthur, IL 61911-1137 2005-09-26
1467445130 William Howard Shackelford Family Medicine 525 N Vine St, Arthur, IL 61911-1137 2005-08-26
1407833130 Charles R Ellington Family Medicine 650 W Columbia St, Arthur, IL 61911-1214 2005-12-23
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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.

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Competitor

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City ARTHUR
Zip Code 61911

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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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