Organization Active NPI

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  • Nursing Care Agency
  • Belleville, IL
National Provider Identifier
1053708057
Registry record updated Apr 17, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
041.180759 Issued in IL
Legal business name
SAVE
Practice address
3001 Save Rd
Belleville, IL 62221-7018
Phone
(618) 234-1992
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Randy Law
Title
Executive Administrator
Phone
(618) 234-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 041.180759 IL Primary

Addresses

Primary practice location

3001 Save Rd
Belleville, IL 62221-7018

Mailing address

114 S Market St
Mascoutah, IL 62258-2432

Other identifiers 1

IdentifierTypeStateIssuer
0515MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Save2 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.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1053708057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S MARKET ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SAVE RD",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217018",
            "telephone_number": "618-234-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "618-234-1992"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "041.180759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.