Active NPI
Snyder's Vaughn-Haven, Inc.
- Skilled Nursing Facility
- Rushville, IL
National Provider Identifier
1003038480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0005363
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Rushville, IL
- NPI 1679959357
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.