ELDERCARE INC (NPI# 1699757708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699757708 |
| Entity Type | Organization |
| Organization Name | ELDERCARE INC |
| Other Organization Name | ELDERCARE OF ALTON |
| Practice Address |
3523 Wickenhauser Ave Alton IL 62002-2199 |
| Mailing Address |
2810 Frank Scott Pkwy W Suite 820 Belleville IL 62223-5007 |
| Practice Telephone | 6184658887 |
| Practice Fax Number | 6184651811 |
| Mailing Telephone | 6182342273 |
| Mailing Fax Number | 6182347777 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. STEVEN C WOLF (PRESIDENT) |
| Authorized Official Telephone | 6182342273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 14D06992611 | IL | Laboratories |
| Y | 314000000X | Skilled Nursing Facility | 0023317 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Eldercare of Alton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093832628 | Eldercare Inc | Home Health | 2006 Broadway Ave, Great Bend, KS 67530-4042 | 2007-03-26 |
| 1982686093 | Eldercare Inc | Skilled Nursing Facility | 727 N 17th St, Belleville, IL 62226-6552 | 2005-11-15 |
| Street Address |
3523 WICKENHAUSER AVE |
| City | ALTON |
| State | IL |
| Zip Code | 62002-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174151112 | Cep America - Illinois Snf, LLP | Internal Medicine | 3523 Wickenhauser Ave, Alton, IL 62002-2118 | 2020-03-27 |
| 1477941938 | Tracy Marie Dietz | Nurse Practitioner | 3523 Wickenhauser Ave, Alton, IL 62002 | 2015-01-06 |
| 1457659740 | Alton Rehabilitation and Nursing Center, LLC. | Skilled Nursing Facility | 3523 Wickenhauser Ave, Alton, IL 62002-2118 | 2011-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356365670 | Alton Memorial Hospital | Skilled Nursing Facility | 1251 College Ave, Alton, IL 62002-6735 | 2006-07-27 |
| 1821531682 | Alton Nh LLC | Skilled Nursing Facility | 3490 Humbert Rd, Alton, IL 62002-7101 | 2016-11-28 |
| 1649641580 | Kindred Health Care | Skilled Nursing Facility | 1251 College Ave, Alton, IL 62002-6735 | 2015-10-19 |
| 1093124513 | Osf Healthcare System | Skilled Nursing Facility | 915 E 5th St, Alton, IL 62002-6434 | 2014-08-08 |
| 1457659740 | Alton Rehabilitation and Nursing Center, LLC. | Skilled Nursing Facility | 3523 Wickenhauser Ave, Alton, IL 62002-2118 | 2011-03-10 |
| 1932250792 | Saint Anthonys Health Center | Skilled Nursing Facility | 915 E 5th St, Alton, IL 62002-6434 | 2007-01-16 |
| 1609984319 | Alton Memorial Hospital | Skilled Nursing Facility | 1 Memorial Dr, Alton, IL 62002-6722 | 2006-08-25 |
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|---|---|---|---|---|
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| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.