Active NPI
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- Nursing Care Agency
- Belleville, IL
National Provider Identifier
1053708057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 041.180759
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0515 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Save
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba SAVE, Inc.
- Developmentally Disabled Services Day Training Agency
- Belleville, IL
- NPI 1376685081
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.