East Peoria NH LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

EAST PEORIA NH LLC

Doing business as

River Crossing of East Peoria

Practice address

900 Centennial Dr
East Peoria, IL 61611-4928

Phone

(309) 699-5400

Fax

(309) 699-1632

NPI assigned

Nov 29, 2016

Last updated

Jun 25, 2021By 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

James Mason

Title

President

Phone

(813) 347-7425

Specialties & licenses 1

Addresses

Other names 1

• River Crossing of East Peoria Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fal - Mountain Crest Inc.

  dba Mountain Crest Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1487839841

  Member Of

  NPD member

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1114460839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CENTENNIAL DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616114928",
            "telephone_number": "309-699-5400",
            "fax_number": "309-699-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTENNIAL DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616114928",
            "telephone_number": "309-699-5400",
            "fax_number": "309-699-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PEORIA NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-347-7425"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Crossing of East Peoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina D Durbin, DC
• East Peoria Comm High SCH 309
• East Peoria Counseling LLC
• East Peoria Elementary Dist 86
• East Peoria Gardens Healthcare
• East Peoria Walk-in Chiropractic LLC
• Nancy S. Egger, L.C.S.W.
• Hilary Enzweiler
• Adebimpe Favour Erebholo, NP
• Freddy A Escorcia, M.D.

• Nursing Facility/Intermediate Care Facility in East Peoria, IL
• Providers in East Peoria, 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 25, 2021; 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.