RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC. (NPI# 1700996972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700996972 |
Entity Type | Organization |
Organization Name | RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC. |
Other Organization Name | MANOR COURT OF PEORIA |
Practice Address |
6900 N Stalworth Dr Peoria IL 61615-9488 |
Mailing Address |
6906 N Stalworth Dr Peoria IL 61615-9488 |
Practice Telephone | 3096931400 |
Practice Fax Number | 3096833561 |
Mailing Telephone | 3096931400 |
Mailing Fax Number | 3096833561 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2008-10-07 |
Authorized Official Name | MR. RONALD J WILSON (CFO) |
Authorized Official Telephone | 3093431550 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0047068 | IL | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Manor Court of Peoria | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619146263 | Residential Alternatives of Illinois, Inc. | Skilled Nursing Facility | 900 South Kiwanis Drive, Freeport, IL 61032 | 2008-02-28 |
1932174000 | Residential Alternatives of Illinois, Inc. | Skilled Nursing Facility | 3230 Becker Dr, Peru, IL 61354 | 2006-02-21 |
Street Address |
6900 N STALWORTH DR |
City | PEORIA |
State | IL |
Zip Code | 61615-9488 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780161778 | Megan Eastman | Speech-Language Pathologist | 6900 N Stalworth Dr, Peoria, IL 61615-9444 | 2018-07-23 |
1760968283 | Kristin Gatliff | Physical Therapist | 6900 N Stalworth Dr, Peoria, IL 61615-9444 | 2018-07-17 |
1144712720 | Kristin Junge | Occupational Therapist | 6900 N Stalworth Dr, Peoria, IL 61615-9444 | 2018-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
Find all providers in zip 61615 |
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 |
---|---|---|---|---|
1386960227 | Jaimie D Forbes | Skilled Nursing Facility | 12251 W Blackstone Ct, Peoria, AZ 85383-2427 | 2010-04-16 |
1932367836 | John C. Proctor Endowment | Skilled Nursing Facility | 2724 W Reservoir Blvd, Peoria, IL 61615-4137 | 2008-05-28 |
1255345542 | Apostolic Christian Home | Skilled Nursing Facility | 7023 Ne Skyline Dr, Peoria, IL 61614-2207 | 2006-07-29 |
1437180262 | American Retirement Corporation | Skilled Nursing Facility | 13215 N 94th Dr, Peoria, AZ 85381-4838 | 2006-07-06 |
1881622264 | Sharon Health Care Elms, Inc. | Skilled Nursing Facility | 3611 N Rochelle, Peoria, IL 61604-1038 | 2006-06-28 |
1700823606 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 20625 N Lake Pleasant Rd, Peoria, AZ 85382-9704 | 2006-05-31 |
1861442063 | Freedom Plaza Lp | Skilled Nursing Facility | 13373 N Plaza Del Rio Blvd, Peoria, AZ 85381-4873 | 2006-05-11 |
1528023033 | Five Star Desert Harbor LLC | Skilled Nursing Facility | 13840 N Desert Harbor Dr, Peoria, AZ 85381-3501 | 2006-04-18 |
1861469041 | Lutheran Hillside Village Inc | Skilled Nursing Facility | 6901 N Galena Rd, Peoria, IL 61614-3193 | 2006-03-07 |
1518940550 | Arizona Retirement Centers, Inc. | Skilled Nursing Facility | 17300 N 88th Ave, Peoria, AZ 85382-3501 | 2005-11-23 |
Find all providers in PEORIA |
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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.