The Grove Health and Rehab Center LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

THE GROVE HEALTH AND REHAB CENTER LLC

Practice address

873 Grove St
Jacksonville, IL 62650-2828

Phone

(217) 479-3400

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Mo Weintraub

Title

Authorized Official

Phone

(217) 479-3400

Specialties & licenses 1

Addresses

Tax ID family

The Grove Health and Rehab Center LLC2 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.

• The Grove Health and Rehab Center LLC

  • Skilled Nursing Facility
  • Jacksonville, IL
  • NPI 1760172712
  NPD tax ID

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1154015485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 GROVE ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502828",
            "telephone_number": "217-479-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROVE HEALTH AND REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "MO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "217-479-3400"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Taylor, FNP
• Russell Guy Taylor, PHD
• Julie W Tennill, MSW, ACSW, LCSW
• William R Tennill, LCSW
• Testing Centers of America LLC
• The Grove Health and Rehab Center LLC
• Thomas L Wilson M D LTD
• Todd O Thorsen
• Erin Tighe, RBT
• Kirsten Timmons, N.P.

• Oxygen Equipment & Supplies (DME) in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.