LAVENDER RIDGE INC (NPI# 1255767166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255767166 |
Entity Type | Organization |
Organization Name | LAVENDER RIDGE INC |
Practice Address |
1103 N Maple St Effingham IL 62401-1793 |
Practice Telephone | 2173424150 |
Practice Fax Number | 2173424199 |
Mailing Telephone | 2173424150 |
Mailing Fax Number | 2173424199 |
Enumeration Date | 2013-09-24 |
Last Update Date | 2013-09-24 |
Authorized Official Name | MRS. KEESHA WOOD-SMITH (REGIONAL DIRECTOR) |
Authorized Official Telephone | 2173424150 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311500000X | Alzheimer Center (Dementia Center) | IL | Nursing & Custodial Care Facilities |
Street Address |
1103 N MAPLE ST |
City | EFFINGHAM |
State | IL |
Zip Code | 62401-1793 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
Find all providers in zip 62401 |
Taxonomy Code | 311500000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Alzheimer Center (Dementia Center) |
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245846716 | Franciscan Communities Inc. II | Alzheimer Center (Dementia Center) | 11500 Theresa Dr, Lemont, IL 60439-2727 | 2020-09-21 |
1447756663 | Venus Properties, LLC | Alzheimer Center (Dementia Center) | 442 Comfort Dr, Marion, IL 62959-4927 | 2018-04-05 |
1265985675 | Reflection Management | Alzheimer Center (Dementia Center) | 203 Stahlhut Dr, Lincoln, IL 62656-5019 | 2016-08-02 |
1922356922 | Prairie Living LLC | Alzheimer Center (Dementia Center) | 200 W International Ave, Rantoul, IL 61866-3628 | 2012-08-22 |
1841555620 | Holistic Community Outreach Inc. | Alzheimer Center (Dementia Center) | 8100 S Western Ave, Chicago, IL 60620-5937 | 2012-07-09 |
1578825402 | Among Friends Adult Day Care Inc | Alzheimer Center (Dementia Center) | 13333 Cicero Ave, Crestwood, IL 60445-1427 | 2012-06-15 |
1487926622 | Memory Care Communities of Illinois, LLC | Alzheimer Center (Dementia Center) | 710 Vellagio Dr, Sycamore, IL 60178-7800 | 2012-02-03 |
1871877597 | Gowin Enterprises Inc | Alzheimer Center (Dementia Center) | 300 Lerna Rd S, Mattoon, IL 61938-9389 | 2011-09-29 |
1821324120 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 3315 Executive Dr, Joliet, IL 60431-8500 | 2009-10-22 |
1871741462 | Fountain View Manor LLC | Alzheimer Center (Dementia Center) | 3432 Village Lane, Granite City, IL 62040 | 2008-09-08 |
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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.