GAHCR II MAHOMET ALF TRS SUB, LLC (NPI# 1245624311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245624311 |
| Entity Type | Organization |
| Organization Name | GAHCR II MAHOMET ALF TRS SUB, LLC |
| Other Organization Name | THE GLENWOOD OF MAHOMET |
| Practice Address |
1709 S Division St Mahomet IL 61853-3747 |
| Practice Telephone | 2175865100 |
| Practice Fax Number | 2175865151 |
| Mailing Telephone | 2175865100 |
| Mailing Fax Number | 2175865151 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |
| Authorized Official Name | DANNY PROSKY (PRESIDENT) |
| Authorized Official Telephone | 9492709200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Glenwood of Mahomet | Doing Business As Name - Organization |
| Street Address |
1709 S DIVISION ST |
| City | MAHOMET |
| State | IL |
| Zip Code | 61853-3747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437365 | Kurtz Counseling, LLC | Social Worker | 207 E Oak Street, Suite E, Mahomet, IL 61853 | 2017-10-02 |
| 1538378757 | Gray Clinic of Chiropractic, Ltd | Chiropractor | 207 E. Oak St, Mahomet, IL 61853 | 2007-05-22 |
| 1730391269 | Downstate Chiropractic Center | Chiropractor | 1002 Commercial Drive, Suite 4, Mahomet, IL 61853 | 2007-05-04 |
| 1861547515 | John Thomas Karich | Dentist | 406 E Oak St, Mahomet, IL 61853 | 2007-01-24 |
| 1700975653 | Nezar Ahmed Kassem | Dentist | 2012 Tin Cup Road, Suite B, Mahomet, IL 61853 | 2006-10-11 |
| 1285737957 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 804 B Eastwood Drive, Mahomet, IL 61853 | 2006-09-07 |
| 1083663918 | Randall A Megeff | Emergency Medicine | 1001 Heather Drive, Mahomet, IL 61853 | 2006-05-08 |
| 1811129836 | Laughton Chiropractic Clinic, LLC | Chiropractor | 417 Main Street, Mahomet, IL 61853 | 2009-08-10 |
| 1629227392 | Valerie Woodruff Dds PC | Dentist | 200 N Eastwood Drive, Mahomet, IL 61853 | 2008-09-17 |
| 1386721090 | Jean L Husmann | Physician Assistant | 1001 Heather Drive, Mahomet, IL 61853 | 2006-11-01 |
| Find all providers in zip 61853 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190504 | The Manor At Jerseyville Glen, Lp | Assisted Living Facility | 904b Estates Dr, Jerseyville, IL 62052-2377 | 2020-10-06 |
| 1861008872 | Franciscan Communities, Inc. | Assisted Living Facility | 15624 Marian Dr, Homer Glen, IL 60491-6271 | 2020-09-16 |
| 1447865118 | Oakley Courts Assisted Living Community | Assisted Living Facility | 3117 W Kunkle Blvd, Freeport, IL 61032-6943 | 2020-09-10 |
| 1083233076 | Marley Oaks Assisted Living Residence | Assisted Living Facility | 12631 187th St, Mokena, IL 60448-8731 | 2020-04-10 |
| 1447884630 | Cedarhurst of Quincy Operator, LLC | Assisted Living Facility | 319 S 48th St, Quincy, IL 62305-0593 | 2020-02-26 |
| 1164055323 | Cye Sullivan Hco, LLC | Assisted Living Facility | 20 Courtyard Blvd, Sullivan, IL 61951-7001 | 2020-02-17 |
| 1255964573 | Cottages At Salem, Inc. | Assisted Living Facility | 339 S Hotze Rd, Salem, IL 62881-6858 | 2020-02-14 |
| 1841821014 | Generations At Oakton Arms, LLC | Assisted Living Facility | 1665 Oakton Pl, Des Plaines, IL 60018-6301 | 2020-01-28 |
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
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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.