Village Health Care Management LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0046656 Issued in IL

Legal business name

VILLAGE HEALTH CARE MANAGEMENT LLC

Practice address

2101 James St
Lawrenceville, IL 62439-2027

Phone

(619) 943-3444

Fax

(618) 943-2853

NPI assigned

Aug 25, 2005

Last updated

Jun 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashli Wesley

Title

Administrator

Phone

(618) 943-3444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lawrenceville Manor Former legal business name

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1003809922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JAMES ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392027",
            "telephone_number": "619-943-3444",
            "fax_number": "618-943-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JAMES ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392027",
            "telephone_number": "619-943-3444",
            "fax_number": "618-943-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE HEALTH CARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "WESLEY",
        "authorized_official_first_name": "ASHLI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-943-3444"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0046656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370673519002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrenceville Manor",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lawrenceville Manor",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Lawrenceville, IL
• Providers in Lawrenceville, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.