Organization Active NPI

Snyder's Vaughn-Haven, Inc.

  • Skilled Nursing Facility
  • Rushville, IL
National Provider Identifier
1003038480
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0005363 Issued in IL
Legal business name
SNYDER'S VAUGHN-HAVEN, INC.
Practice address
135 S Morgan St
Rushville, IL 62681-1617
Phone
(217) 322-3420
Fax
(217) 322-2828
NPI assigned
May 3, 2007
Last updated
Feb 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John R Snyder
Title
Administrator
Phone
(217) 322-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0005363 IL Primary

Addresses

Primary practice location

135 S Morgan St
Rushville, IL 62681-1617

Mailing address

135 S Morgan St
Rushville, IL 62681-1617
Phone (217) 322-3420

National Provider Directory

National Provider Directory
Tax ID family
Rushville Nursing and Rehabilitation Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

135 S Morgan St
#140
Rushville, IL 62681
Phone (217) 322-3420

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1003038480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S MORGAN ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811617",
            "telephone_number": "217-322-3420",
            "fax_number": "217-322-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S MORGAN ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811617",
            "telephone_number": "217-322-3420",
            "fax_number": "217-322-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNYDER'S VAUGHN-HAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-322-3201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0005363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.