LUTHERAN HILLSIDE VILLAGE INC (NPI# 1861469041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861469041 |
| Entity Type | Organization |
| Organization Name | LUTHERAN HILLSIDE VILLAGE INC |
| Other Organization Name | LUTHERAN HOME |
| Practice Address |
6901 N Galena Rd Peoria IL 61614-3193 |
| Mailing Address |
1150 Hanley Industrial Ct Attn Director of Reimbursement Saint Louis MO 63144-1910 |
| Practice Telephone | 3096924600 |
| Practice Fax Number | 3095898589 |
| Mailing Telephone | 3149689313 |
| Mailing Fax Number | 3149685590 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | MR. CHADWICK SNEED (SR VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 3149689313 |
| Is Organization Subpart | Y |
| Parent Organization Name | LUTHERAN SENIOR SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0019109 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lutheran Home | Doing Business As Name - Organization |
| Street Address |
6901 N GALENA RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-3193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022398 | Aleshka Grusy | Physical Therapy Assistant | 6901 N Galena Rd, Peoria, IL 61614-3193 | 2020-10-27 |
| 1831706522 | Jamie Goodyear | Occupational Therapist | 6901 N Galena Rd, Peoria, IL 61614-3193 | 2020-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| 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 |
| 1700996972 | Residential Alternatives of Illinois, Inc. | Skilled Nursing Facility | 6900 N Stalworth Dr, Peoria, IL 61615-9488 | 2006-08-30 |
| 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 |
| 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.