NPIMap

Organization Active NPI

Pope County Care Home Inc

  • Skilled Nursing Facility
  • Golconda, IL
National Provider Identifier
1184623332
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
POPE COUNTY CARE HOME INC
Practice address
216 E Rosalie
Golconda, IL 62938
Phone
(618) 683-7711
Fax
(618) 683-7721
NPI assigned
Jul 19, 2005
Last updated
May 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Mr. Roger W Bagley
Title
Controller
Phone
(618) 549-8331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

216 E Rosalie
Golconda, IL 62938

Mailing address

PO Box 488
Golconda, IL 62938-0488
Phone (618) 683-7711

Other names 1

  • POPE COUNTY CARE CENTER INC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1184623332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "629380488",
            "telephone_number": "618-683-7711",
            "fax_number": "618-683-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E ROSALIE",
            "city": "GOLCONDA",
            "state": "IL",
            "postal_code": "62938",
            "telephone_number": "618-683-7711",
            "fax_number": "618-683-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE COUNTY CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "618-549-8331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POPE COUNTY CARE CENTER INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Golconda, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.