LUTHERAN RETIREMENT CENTER ASSOCIATION (NPI# 1225310246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225310246 |
| Entity Type | Organization |
| Organization Name | LUTHERAN RETIREMENT CENTER ASSOCIATION |
| Other Organization Name | CONCORDIA VILLAGE CARE CENTER |
| Practice Address |
4101 W Iles Ave Springfield IL 62711-7051 |
| Practice Telephone | 2177939429 |
| Practice Fax Number | 2177931333 |
| Mailing Telephone | 2177939429 |
| Mailing Fax Number | 2177931333 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | MR. CHADWICK SNEED (SR VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 3149689313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0051078 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Concordia Village Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205279684 | Lutheran Retirement Center Association | Clinic/Center | 4101 W Iles Ave, Springfield, IL 62711-7051 | 2013-04-16 |
| Street Address |
4101 W ILES AVE |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711-7051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205279684 | Lutheran Retirement Center Association | Clinic/Center | 4101 W Iles Ave, Springfield, IL 62711-7051 | 2013-04-16 |
| 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 |
| Find all providers in zip 62711 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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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| 1508373838 | Sunterra Springfield Oc, LLC | Skilled Nursing Facility | 4935 S National Ave, Springfield, MO 65810 | 2018-01-09 |
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| 1376054197 | Trilogy Healthcare Operations of Springfield II, LLC | Skilled Nursing Facility | 2900 Bechtle Avenue, Springfield, OH 45504 | 2017-10-19 |
| 1033559349 | Marquis Care | Skilled Nursing Facility | 25 U St, Springfield, OR 97477-2155 | 2013-07-01 |
| 1447592118 | Ojcc LLC | Skilled Nursing Facility | 3089 Old Jacksonville Rd, Springfield, IL 62704-6486 | 2013-03-20 |
| 1073747077 | The Maples Health and Rehabilitation, LLC | Skilled Nursing Facility | 610 W Sunset St, Springfield, MO 65807-3696 | 2009-05-06 |
| 1104034289 | Capitol Care Center, LLC | Skilled Nursing Facility | 555 W Carpenter St, Springfield, IL 62702-4905 | 2007-05-20 |
| 1396862314 | Good Shepherd Village LLC | Skilled Nursing Facility | 422 N Burnett Rd, Springfield, OH 45503-4821 | 2007-03-23 |
| 1346374949 | Woodland Manor Limited Partnership | Skilled Nursing Facility | 2000 Villa Rd, Springfield, OH 45503-1761 | 2007-03-15 |
| 1255465928 | N & R of Greene Haven LLC | Skilled Nursing Facility | 910 S West Ave, Springfield, MO 65802-9999 | 2007-03-15 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62711 |
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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.