VIRGIL CALVERT NURSING & REHABILITATION CENTER (NPI# 1417122169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417122169 |
Entity Type | Organization |
Organization Name | VIRGIL CALVERT NURSING & REHABILITATION CENTER |
Practice Address |
5050 Summit Ave East Saint Louis IL 62203-1026 |
Practice Telephone | 8479822300 |
Practice Fax Number | 8479822304 |
Mailing Telephone | 8479822300 |
Mailing Fax Number | 8479822304 |
Enumeration Date | 2008-04-24 |
Last Update Date | 2008-04-24 |
Authorized Official Name | MOE HERMAN (COMPTROLLER) |
Authorized Official Telephone | 8479822300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0039651 | IL | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720052731 | Virgil Calvert Nursing & Rehabilitation Center | Skilled Nursing Facility | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2006-02-15 |
Street Address |
5050 SUMMIT AVE |
City | EAST SAINT LOUIS |
State | IL |
Zip Code | 62203-1026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720052731 | Virgil Calvert Nursing & Rehabilitation Center | Skilled Nursing Facility | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2006-02-15 |
1548521768 | Karen D Boide | Physical Therapy Assistant | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2012-06-05 |
1821359324 | Robert Lyle Swanson | Occupational Therapy Assistant | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2012-05-31 |
1699073874 | Nathan Health Care Center, L.L.C. | Skilled Nursing Facility | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2011-03-11 |
1710003421 | Virgil L Calvert Care Center | Skilled Nursing Facility | 5050 Summit Ave, East Saint Louis, IL 62203-1026 | 2007-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801386586 | Strower Dialysis LLC | Clinic/Center | 8 Vieux Carre Dr, East Saint Louis, IL 62203 | 2018-05-17 |
1487612370 | Justin Ogbevoen | Pediatrics | 8710 State St, East Saint Louis, IL 62203 | 2006-05-02 |
1811187321 | Robert Stephen Jacobs | Counselor | 200 W. Country Ln., Ccollinsville, IL 62203-0000 | 2007-07-31 |
1225152929 | Bharat Kantilal Shah | Surgery | 950 N Kingshighway, East Saint Louis, IL 62203-1085 | 2007-03-19 |
1932484748 | Hoyleton Youth and Family Services | Day Training, Developmentally Disabled Services | 5601 State St, East Saint Louis, IL 62203-1346 | 2011-10-13 |
1164827366 | Marianna Peterson | Counselor | 5601 State St, East Saint Louis, IL 62203-1346 | 2014-10-30 |
1326448952 | Jennifer Childerson | Social Worker | 5601 State St, East Saint Louis, IL 62203-1346 | 2014-09-02 |
1720322662 | Mayra Velasco | Counselor | 5601 State St, East Saint Louis, IL 62203-1346 | 2012-11-15 |
1225386360 | Frank Daniel Buono | Behavioral Analyst | 5601 State St, East Saint Louis, IL 62203-1346 | 2012-08-21 |
1356877294 | Readynow Transit, LLC | Non-emergency Medical Transport (VAN) | 6205 Lake Dr, Centreville, IL 62203-1522 | 2017-05-11 |
Find all providers in zip 62203 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699026 | First Choice Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 65 S 65th St Ste 10, Belleville, IL 62223-2946 | 2020-11-04 |
1619596624 | Gz Service Inc | Durable Medical Equipment & Medical Supplies | 576 Jennifer Cir, Mundelein, IL 60060-4110 | 2020-04-09 |
1528690526 | Nationwide Medical, Inc. | Durable Medical Equipment & Medical Supplies | 415 W Golf Rd Ste 48, Arlington Heights, IL 60005-3923 | 2020-02-07 |
1477024347 | Karma7 Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1840 Industrial Dr Ste 160, Libertyville, IL 60048-9400 | 2018-12-17 |
1700354354 | True Respiratory Care & Medical Management LLC | Durable Medical Equipment & Medical Supplies | 11415 183rd Pl Ste B, Orland Park, IL 60467-5011 | 2018-11-12 |
1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
1487103560 | The Elms | Durable Medical Equipment & Medical Supplies | 1212 Madelyn Ave, Macomb, IL 61455-3324 | 2016-09-29 |
1457807257 | Genventures Inc | Durable Medical Equipment & Medical Supplies | 101 S. College Avenue, Aledo, IL 61231-1630 | 2016-08-31 |
Find all providers with the same taxonomy |
City | EAST SAINT LOUIS |
Zip Code | 62203 |
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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.