PEORIA SLF LP (NPI# 1891241022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891241022 |
| Entity Type | Organization |
| Organization Name | PEORIA SLF LP |
| Other Organization Name | GATEWAY AT RIVER CITY |
| Practice Address |
518 West Romeo B. Garrett Avenue Peoria IL 61605 |
| Practice Telephone | 3096733115 |
| Practice Fax Number | 3096733117 |
| Mailing Telephone | 3096733115 |
| Mailing Fax Number | 3096733117 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Authorized Official Name | JOELLEN BLEAVINS (PRESIDENT OF GARDANT MANAGEMENT SOL) |
| Authorized Official Telephone | 8159351992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| GateWay at River City | Doing Business As Name - Organization |
| Street Address |
518 WEST ROMEO B. GARRETT AVENUE |
| City | PEORIA |
| State | IL |
| Zip Code | 61605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
| 1639148356 | William G Nulty | Pediatrics | One Illini Dr, Medical Service Plan, Peoria, IL 61605 | 2006-03-15 |
| Find all providers in zip 61605 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730508 | Gheorghe Patrutescu | Assisted Living Facility | 16134 N 72nd Ln, Peoria, AZ 85382-4937 | 2020-11-03 |
| 1770103954 | Jcl Healthcare Solutions LLC | Assisted Living Facility | 10161 W Lawrence Ln, Peoria, AZ 85345-7380 | 2020-04-17 |
| 1912536368 | Agua Fria Senior Living, LLC | Assisted Living Facility | 8880 N 107th Ave, Peoria, AZ 85345-2908 | 2020-04-07 |
| 1750915872 | View Point Fairmont Village LLC | Assisted Living Facility | 10401 N 79th Ave, Peoria, AZ 85345-0742 | 2020-02-27 |
| 1104392349 | Orchid Residential Inc. | Assisted Living Facility | 9580 W Orchid Ln, Peoria, AZ 85345-7719 | 2018-10-15 |
| 1013492412 | Pleasant Sunset Assisted Living LLC | Assisted Living Facility | 21393 N 94th Ave, Peoria, AZ 85382-8300 | 2018-10-02 |
| 1245723220 | Ilie Valean | Assisted Living Facility | 8331 W Willowbrook Dr, Peoria, AZ 85382-0894 | 2018-06-13 |
| 1023524626 | Intouch Assisted Living Home Enterprise, LLC | Assisted Living Facility | 7233 W Paradise Ln, Peoria, AZ 85382-4942 | 2017-12-18 |
| 1275052151 | Arrowhead Shore Senior Living, LLC | Assisted Living Facility | 16124 N 87th Dr, Peoria, AZ 85382-3771 | 2017-09-12 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| 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.