PRAIRIE VIEW CARE CENTER OF LEWISTOWN, INC (NPI# 1376504969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376504969 |
Entity Type | Organization |
Organization Name | PRAIRIE VIEW CARE CENTER OF LEWISTOWN, INC |
Practice Address |
175 E Sycamore Dr Lewistown IL 61542-1749 |
Mailing Address |
3856 Oakton St Suite 200 Skokie IL 60076-3454 |
Practice Telephone | 3095472267 |
Practice Fax Number | 3095472272 |
Mailing Telephone | 8476744700 |
Mailing Fax Number | 8476744733 |
Enumeration Date | 2006-03-31 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. BRADLEY ALTER (CEO) |
Authorized Official Telephone | 8476744700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0040303 | IL | Nursing & Custodial Care Facilities |
Street Address |
175 E SYCAMORE DR |
City | LEWISTOWN |
State | IL |
Zip Code | 61542-1749 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265687784 | Prairie View Care Center of Lewistown | Non-emergency Medical Transport (VAN) | 175 E Sycamore Dr, Lewistown, IL 61542-1749 | 2008-11-25 |
1649423336 | Prairie View Care Center of Lewistown | Durable Medical Equipment & Medical Supplies | 175 E Sycamore Dr, Lewistown, IL 61542-1749 | 2008-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528379906 | County of Fulton | Public Health or Welfare | 100 N Main St, Lewistown, IL 61542-0111 | 2010-06-30 |
1942489745 | Harry E Burch | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2007-10-29 |
1326040866 | James Victor Burch | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2005-08-15 |
1598767576 | Burch Chiropractic Ltd | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2005-08-10 |
1295804722 | Jaime Humberto Cercone | General Practice | 501 W Milton Ave, Lewistown, IL 61542-1322 | 2006-11-07 |
1184064156 | R & Q Corporation | Pharmacy | 193 S Main St, Lewistown, IL 61542-1412 | 2013-07-05 |
1417092099 | Main Street Pharmacy Inc | Pharmacy | 195 S Main St, Lewistown, IL 61542-1412 | 2007-02-21 |
1144363573 | Main Street Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 195 S Main St, Lewistown, IL 61542-1412 | 2007-02-15 |
1750527172 | Graham Hospital Association | Family Medicine | 408 S. Main Street, Lewistown, IL 61542-1563 | 2009-01-07 |
1588758700 | Gretchen Wayne Fawcett | Physician Assistant | 408 S Main St, Lewistown, IL 61542-1563 | 2006-10-03 |
Find all providers in zip 61542 |
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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1154388684 | Diakon Lutheran Social Ministries | Skilled Nursing Facility | 276 Green Ave, Lewistown, PA 17044-2352 | 2006-04-27 |
1720074958 | Central Montana Medical Facilities, Inc | Skilled Nursing Facility | 408 Wendell Ave, Lewistown, MT 59457-2261 | 2005-09-22 |
1740273176 | Deaconess Long Term Care of Missouri, Inc. | Skilled Nursing Facility | 18540 State Highway 16, Lewistown, MO 63452-2111 | 2005-08-31 |
1548716913 | Guardian Elder Care At Lewistown LLC | Skilled Nursing Facility | 163 Summit Dr, Lewistown, PA 17044-1245 | 2016-08-26 |
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1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
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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.