CARE CENTER OF JACKSONVILLE, LLC (NPI# 1225344518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225344518 |
| Entity Type | Organization |
| Organization Name | CARE CENTER OF JACKSONVILLE, LLC |
| Other Organization Name | CARE CENTER OF JACKSONVILLE |
| Practice Address |
1320 Tendick St Jacksonville IL 62650-3121 |
| Mailing Address |
8131 Monticello Ave Skokie IL 60076-3325 |
| Practice Telephone | 2172436405 |
| Practice Fax Number | 2172451449 |
| Mailing Telephone | 8476736767 |
| Mailing Fax Number | 8476736768 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |
| Authorized Official Name | MR. YOSEF MEYSTEL (MANAGER) |
| Authorized Official Telephone | 8476736767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Care Center of Jacksonville | Doing Business As Name - Organization |
| Street Address |
1320 TENDICK ST |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581191 | Arc of Jacksonville, Ltd | Nursing Facility/Intermediate Care Facility | 1320 Tendick St, Jacksonville, IL 62650-3121 | 2005-07-09 |
| 1972517738 | A.r.c. of Jacksonville, Ltd | Nursing Facility/Intermediate Care Facility | 1320 Tendick St, Jacksonville, IL 62650-3121 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| 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 |
|---|---|---|---|---|
| 1568659993 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 1839 Onslow Dr, Jacksonville, NC 28540-5906 | 2007-10-01 |
| 1770581191 | Arc of Jacksonville, Ltd | Nursing Facility/Intermediate Care Facility | 1320 Tendick St, Jacksonville, IL 62650-3121 | 2005-07-09 |
| 1629414479 | Kpncinc | Nursing Facility/Intermediate Care Facility | 764 Aqua Surf Ct, Jacksonville, FL 32225-0802 | 2013-05-21 |
| 1477863355 | Malachi Home Care,inc | Nursing Facility/Intermediate Care Facility | 200 Valencia Dr, Suite 103, Jacksonville, NC 28546-6311 | 2010-10-13 |
| 1154644912 | Lp Jacksonville, LLC | Nursing Facility/Intermediate Care Facility | 2061 Hyde Park Rd, Jacksonville, FL 32210-3815 | 2010-03-09 |
| 1952598385 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 225 White St, Jacksonville, NC 28546-6351 | 2007-10-01 |
| 1972517738 | A.r.c. of Jacksonville, Ltd | Nursing Facility/Intermediate Care Facility | 1320 Tendick St, Jacksonville, IL 62650-3121 | 2006-07-28 |
| 1255328399 | Southwood Nursing Center | Nursing Facility/Intermediate Care Facility | 40 Acme St, Jacksonville, FL 32211-7953 | 2005-10-04 |
| 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 | JACKSONVILLE |
| Zip Code | 62650 |
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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.