GOOD SAMARITAN NURSING HOME (NPI# 1639138134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639138134 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN NURSING HOME |
| Practice Address |
407 N Hebard St Knoxville IL 61448-1174 |
| Mailing Address |
407 N. Hebard Street Knoxville IL 61401 |
| Practice Telephone | 3092892614 |
| Practice Fax Number | 3092898847 |
| Mailing Telephone | 3092892614 |
| Mailing Fax Number | 3092898847 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LINDA D. COOK (ADMINISTRATOR) |
| Authorized Official Telephone | 3092892614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 0001107 | IL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568483329 | Good Samaritan Nursing Home | Nursing Home Administrator | 407 N Hebard Street, Knoxville, IL 61448 | 2006-07-21 |
| 1003817248 | Good Samaritan Nursing Home | Skilled Nursing Facility | 403 W Main St, Cole Camp, MO 65325-1144 | 2005-08-10 |
| Street Address |
407 N HEBARD ST |
| City | KNOXVILLE |
| State | IL |
| Zip Code | 61448-1174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801980826 | Steven D Shonkwiler | Orthopaedic Surgery | 513 Newman St, Knoxville, IL 61448 | 2006-10-03 |
| 1568483329 | Good Samaritan Nursing Home | Nursing Home Administrator | 407 N Hebard Street, Knoxville, IL 61448 | 2006-07-21 |
| 1033241245 | Robert Wallace White | Chiropractor | 307 Henderson Rd, Knoxville, IL 61448-1019 | 2007-03-12 |
| 1942567938 | Robert W. & Amy White | Chiropractor | 307 Henderson Rd, Knoxville, IL 61448-1019 | 2012-04-16 |
| 1326035304 | County of Knox | Skilled Nursing Facility | 800 N Market St, Knoxville, IL 61448-1096 | 2005-10-04 |
| 1568927150 | Michelle Nelson | Occupational Therapy Assistant | 800 N Market St, Knoxville, IL 61448-1096 | 2019-02-07 |
| 1295299923 | Marci Tyrrell | Physical Therapy Assistant | 800 N Market St, Knoxville, IL 61448-1096 | 2019-01-28 |
| 1740612704 | Jinal Gala | Speech-Language Pathologist | 800 N Market St, Knoxville, IL 61448-1096 | 2013-08-01 |
| 1033354725 | Knox County Nursing Home | Skilled Nursing Facility | 800 N Market St, Knoxville, IL 61448-1096 | 2008-12-09 |
| 1912550302 | Katherine Michele Morrissey | Occupational Therapist | 800 N Market St, Knoxville, IL 61448-1097 | 2019-07-24 |
| Find all providers in zip 61448 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285695270 | Hillcrest Healthcare Communities Inc | Nursing Facility/Intermediate Care Facility | 6801 Middlebrook Pike, Knoxville, TN 37909 | 2006-03-29 |
| 1851352975 | Hillcrest Healthcare Communities Inc | Nursing Facility/Intermediate Care Facility | 5321 Beverly Park Circle, Knoxville, TN 37918 | 2006-03-29 |
| 1497740211 | Serene Manor Hospital Inc | Nursing Facility/Intermediate Care Facility | 970 Wray Street, Knoxville, TN 37917 | 2005-09-19 |
| 1942202171 | Brakebill Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 5837 Lyons View Pike, Knoxville, TN 37919-6474 | 2005-06-01 |
| 1083752901 | St. Mary's Holston Health and Rehabilitation Center, Inc. | Nursing Facility/Intermediate Care Facility | 3916 Boyds Bridge Pike, Knoxville, TN 37914-6233 | 2007-02-02 |
| 1427019413 | Hillcrest Healthcare Communities, Inc | Nursing Facility/Intermediate Care Facility | 1758 Hillwood Dr, Knoxville, TN 37920-2600 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386094068 | Icg Home Health | Nursing Facility/Intermediate Care Facility | 4508 Camden Ct, Richton Park, IL 60471-1147 | 2016-06-14 |
| 1871999078 | Midwest Health Operations LLC | Nursing Facility/Intermediate Care Facility | 3601 16th Ave, Sterling, IL 61081-4059 | 2014-11-15 |
| 1437410891 | Mado Healthcare | Nursing Facility/Intermediate Care Facility | 1541 North Wells, Chicago, IL 60610-1307 | 2012-06-01 |
| 1134405392 | Faith Community Health Services, Inc | Nursing Facility/Intermediate Care Facility | 4449 177th St, Country Club Hills, IL 60478-4705 | 2011-11-01 |
| 1215188487 | Petersen Health Care, Inc | Nursing Facility/Intermediate Care Facility | 144 Jounior Ave., Kewanee, IL 61443 | 2008-10-07 |
| 1699936054 | Pinckneyville Healthcare Center | Nursing Facility/Intermediate Care Facility | 708 Virginia Ct, Pinckneyville, IL 62274-1538 | 2008-06-18 |
| 1184894412 | Parents and Friends of The Slc-home 1 | Nursing Facility/Intermediate Care Facility | 3 Gundlach Pl, Swansea, IL 62226-4227 | 2008-03-03 |
| 1740463074 | St. Joseph's Home of Springfield | Nursing Facility/Intermediate Care Facility | 3306 S 6th Street Rd, Springfield, IL 62703-4735 | 2007-12-10 |
| 1821283573 | Royal Living Center Inc | Nursing Facility/Intermediate Care Facility | 200 South 9th Street, New Baden, IL 62265 | 2007-09-06 |
| 1235323841 | Parents and Friends of Slc | Nursing Facility/Intermediate Care Facility | 1450 Caseyville Ave, Swansea, IL 62226-4517 | 2007-08-28 |
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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.