Manteno Springs Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5100943 Issued in IL

Legal business name

MANTENO SPRINGS ASSISTED LIVING

Practice address

600 N Birch St
Manteno, IL 60950-1391

Phone

(815) 468-6896

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By 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

Ms. Geri P. Johnson

Title

Administrator

Phone

(815) 468-6896

Specialties & licenses 1

Addresses

Other names 1

• None Other name

Locations

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1023343308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N BIRCH ST",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501391",
            "telephone_number": "815-468-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BIRCH ST",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501391",
            "telephone_number": "815-468-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTENO SPRINGS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GERI",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-468-6896",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "5100943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madhu Malhotra, M.D.
• Manteno Chiropractic & Wellness Center
• Manteno Community Fire Protection District
• Manteno Physical Therapy, LLC
• Manteno School District #5
• Robert P Martin, DPM
• Gerise M. Martinez, RNFA
• Martins Ambulance Inc
• Arthur J Mattson, MSW
• Lance McCann, MAPC, CADC

• Assisted Living Facility in Manteno, IL
• Providers in Manteno, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.