Organization Active NPI

Fountain View Inc

  • Nursing Facility/Intermediate Care Facility
  • Eldorado, IL
National Provider Identifier
1023097151
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0020628 Issued in IL
Legal business name
FOUNTAIN VIEW INC
Practice address
1001A Jefferson St
Eldorado, IL 62930-1373
Phone
(618) 273-3353
Fax
(618) 273-4800
NPI assigned
Jan 17, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Denise Luckett
Title
Administrator
Phone
(618) 273-3353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0020628 IL Primary
Skilled Nursing Facility 314000000X 0020628 IL

Addresses

Primary practice location

1001A Jefferson St
Eldorado, IL 62930-1373

Mailing address

1001A Jefferson St
Eldorado, IL 62930-1373
Phone (618) 273-3353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023097151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001A JEFFERSON ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301373",
            "telephone_number": "618-273-3353",
            "fax_number": "618-273-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001A JEFFERSON ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301373",
            "telephone_number": "618-273-3353",
            "fax_number": "618-273-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VIEW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-273-3353"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0020628",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0020628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldorado, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.