MENARD CONVALESCENT CENTER, INC (NPI# 1720035611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720035611 |
| Entity Type | Organization |
| Organization Name | MENARD CONVALESCENT CENTER, INC |
| Practice Address |
120 W Antle St Petersburg IL 62675-1035 |
| Mailing Address |
2653 W Lawrence Ave Suite B Springfield IL 62704-1115 |
| Practice Telephone | 2176322249 |
| Practice Fax Number | 2176327810 |
| Mailing Telephone | 2177878530 |
| Mailing Fax Number | 2177879840 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JERRY JENNINGS (CONTROLLER) |
| Authorized Official Telephone | 2177878530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0003020 | IL | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003068776 | Menard Convalescent Center, Inc | Skilled Nursing Facility | 120 W Antle St, Petersburg, IL 62675-1035 | 2008-10-14 |
| Street Address |
120 W ANTLE ST |
| City | PETERSBURG |
| State | IL |
| Zip Code | 62675-1035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003068776 | Menard Convalescent Center, Inc | Skilled Nursing Facility | 120 W Antle St, Petersburg, IL 62675-1035 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962519405 | Porta Comm. Unit District 202 | Local Education Agency (LEA) | 17651 Bluejay Road, Petersburg, IL 62675 | 2006-08-23 |
| 1295704021 | Menard County Health Department | Home Health | 1120 N 4th, Suite A, Petersburg, IL 62675 | 2006-03-15 |
| 1528106812 | County of Menard | Public Health or Welfare | 1120 N 4th St, Suite A, Petersburg, IL 62675-1115 | 2007-02-01 |
| 1922478916 | Ashleigh Renee Smith | Private Vehicle | 703 N 7th St, Petersburg, IL 62675-1144 | 2015-10-02 |
| 1952872269 | Abbey Lynn Venturini | Social Worker | 323 W Rutledge St, Petersburg, IL 62675-1239 | 2018-12-12 |
| 1285936872 | Donald P. Hartman | Dentist | 213 N 5th, Petersburg, IL 62675-1303 | 2010-12-02 |
| 1114197514 | Paul Douglas Davis | Dentist | 213 N 5th St, Petersburg, IL 62675-1303 | 2008-03-03 |
| 1619091238 | Donald Paul Hartman | Dentist | 213 N 5th St, Petersburg, IL 62675-1303 | 2007-03-19 |
| 1114164498 | Michael Gensler | Chiropractor | 110 E. Sheridan Rd, Petersburg, IL 62675-1340 | 2009-01-08 |
| 1932317799 | Mary N Hollis | Registered Nurse | 715 W Jackson St, Petersburg, IL 62675-1436 | 2007-05-17 |
| Find all providers in zip 62675 | ||||
| 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 |
|---|---|---|---|---|
| 1497922843 | Dinwiddie Health Care LLC | Skilled Nursing Facility | 46 Diamond Drive, Petersburg, VA 23803-7495 | 2008-05-14 |
| 1487731477 | Good Samaritan Hospital | Skilled Nursing Facility | 801 E Illinois St, Petersburg, IN 47567-8026 | 2006-11-01 |
| 1497856785 | Sunny Acres | Skilled Nursing Facility | 19130 Sunny Acres Rd, Petersburg, IL 62675-7306 | 2006-09-26 |
| 1619924834 | Beverly Enterprises - Virginia, Inc. | Skilled Nursing Facility | 250 Flank Rd, Petersburg, VA 23805-9117 | 2006-05-31 |
| 1356398572 | Beverly Enterprises - Virginia Inc | Skilled Nursing Facility | 287 E South Blvd, Petersburg, VA 23805-2700 | 2006-05-31 |
| 1770539546 | Hendricks County Hospital | Skilled Nursing Facility | 309 W Pike Ave, Petersburg, IN 47567-8755 | 2006-05-25 |
| 1740270982 | Grant Rehab & Care Center | Skilled Nursing Facility | 127 Early Avenue, Petersburg, WV 26847-9403 | 2005-10-27 |
| 1245771765 | South Leasing (va) Co., LLC | Skilled Nursing Facility | 287 E South Blvd, Petersburg, VA 23805-2700 | 2017-03-16 |
| 1972044485 | Flank Leasing Co., LLC | Skilled Nursing Facility | 250 Flank Rd, Petersburg, VA 23805-9117 | 2017-03-16 |
| 1922542109 | Dycora Transitional Health - Petersburg LLC | Skilled Nursing Facility | 309 W Pike Ave, Petersburg, IN 47567-8755 | 2016-12-07 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 62675 |
Please comment or provide details below to improve the information on MENARD CONVALESCENT CENTER, INC.
| 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.