BONAN BROTHERS PROPERTIES PROJECT #2, LLC


Address: 2047 E Mccord St, Centralia, IL 62801-6782
Phone: 6185335278

BONAN BROTHERS PROPERTIES PROJECT #2, LLC (NPI# 1487852083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487852083
Entity Type Organization
Organization Name BONAN BROTHERS PROPERTIES PROJECT #2, LLC
Practice Address 2047 E Mccord St
Centralia
IL 62801-6782
Practice Telephone 6185335278
Practice Fax Number 6185334406
Mailing Telephone 6185335278
Mailing Fax Number 6185334406
Enumeration Date 2007-07-05
Last Update Date 2020-08-22
Authorized Official Name MS. KIM IOERGER (SENIOR ADMINISTRATOR)
Authorized Official Telephone 6185335278
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility IL Nursing & Custodial Care Facilities

Office Location

Street Address 2047 E MCCORD ST
City CENTRALIA
State IL
Zip Code 62801-6782

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356996151 Matthew Crawford Counselor 904 E Martin Luther King Dr, Centralia, IL 62801 2019-08-08
1588130314 Kennah White Counselor 904 E. Mlk Drive, Centralia, IL 62801 2018-10-19
1245721588 Lindsey Nicole Fogliasso Counselor 904 East Mlk Dr., Centralia, IL 62801 2018-05-22
1629573365 Prabhat Shrestha Student in an Organized Health Care Education/Training Program 605 Sable Drive, Centralia, IL 62801 2018-03-26
1619496098 Whitney Rathmann Speech-Language Pathologist 224 South Locust, Centralia, IL 62801 2017-09-17
1376082685 Athena A Smith Counselor 904 E. Martin Luther King Dr, Centralia, IL 62801 2017-02-20
1447704069 Meghan Branch Counselor 904 Martin Luther King Dr, Centralia, IL 62801 2016-08-11
1568820637 Midland Area Agency On Aging Case Management 434 S Poplar Street, Centralia, IL 62801 2016-02-04
1104201714 Keri Douglas Nurse Practitioner 1054 M. L. King Drive #125, Centrailia, IL 62801 2015-07-24
1215331509 Melissa Dane Counselor 904 E Martin Luther King Dr., Centralia, IL 62801 2014-10-15
Find all providers in zip 62801

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174149447 Mcp Cooks Hill Wa Opco LLC Assisted Living Facility 2010 Cooks Hill Rd, Centralia, WA 98531-8832 2020-06-22
1972940815 Sandra Care Assisted Living Facility 1215 S Tower Ave, Centralia, WA 98531-2338 2013-06-02
1134393754 Bonan Brothers Properties Project #3 LLC Assisted Living Facility 2049 E Mccord St, Centralia, IL 62801-6727 2008-04-15
1285885509 Heritage Woods of Centralia, LLC Assisted Living Facility 2049 E Mccord St, Centralia, IL 62801-6784 2008-10-06
1689880239 Bristol Care, Inc. Assisted Living Facility 610 N Jefferson St, Centralia, MO 65240-1178 2007-05-14

Providers in the same taxonomy and state

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
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Competitor

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City CENTRALIA
Zip Code 62801

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Dataset Information

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.

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