NPIMap

Organization Active NPI

Unlimited Development, Inc

  • Skilled Nursing Facility
  • Carbondale, IL
National Provider Identifier
1194133017
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0052894 Issued in IL
Legal business name
UNLIMITED DEVELOPMENT, INC
Practice address
2940 W Westridge Place
Carbondale, IL 62901-1082
Phone
(618) 457-1010
Fax
(618) 351-9226
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Ronald J Wilson
Title
Cfo
Phone
(309) 343-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0052894 IL Primary

Addresses

Primary practice location

2940 W Westridge Place
Carbondale, IL 62901-1082

Mailing address

2940 W Westridge Place
Carbondale, IL 62901-1082
Phone (618) 457-1010

Other identifiers 1

IdentifierTypeStateIssuer
0052894OtherILLICENSE

Other names 1

  • UDI 5 LLC Manor Court of Carbondale Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140909000546 IL Part A Provider - Skilled Nursing Facility 6901995513 Practice locations: Carbondale, IL

Skilled nursing facility certification: CCN 146171

Legal name
UNLIMITED DEVELOPMENT, INC
Doing business as
UDI 5 LLC MANOR COURT OF CARBONDALE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 29, 2014
Last certification
Jun 14, 2024
Beds
120
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Unlimited Development Inc
Organization structure
CorporationNon-profit
Incorporated
May 17, 1996 in IL
Enrollment address
2940 Westridge PL
Carbondale, IL 62901-1082
Nursing home name
MANOR COURT OF CARBONDALE
Affiliated entity
UNLIMITED DEVELOPMENT, INC.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Manor Court of CarbondaleCCN 146171
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Sep 29, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120100.9 residents per day on average
Chain
Unlimited Development, Inc.10 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
4Fines totaling $126,274

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2085460Manor Court of Carbondale2940 W Westridge PL, Carbondale, IL 62901Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory
Tax ID family
Unlimited Development Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1910 E McCord St
Centralia, IL 62801
Phone (618) 233-1200

509 S Buck Rd
Le Roy, IL 61752
Phone (309) 962-5000

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Audrey J Finke Individual Corporate OfficerSecretary of Board of Directors Jul 5, 2019
Corporate DirectorBoard Member Jul 25, 2014
Jerry D Gilmore Individual Corporate DirectorBoard Member Jul 25, 2014
Ronald J Wilson Individual Corporate OfficerChief Financial Officer May 25, 2022
David S Haney Individual Corporate DirectorBoard Member Jul 25, 2014
Robert H Wagner Individual Corporate OfficerPresident of Board of Directors Jul 25, 2014
Corporate DirectorBoard Member Jul 25, 2014
Melissa Marie Neitzel Individual W-2 Managing EmployeeAdministrator Jul 5, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Manor Court of MaryvilleMaryville, IL, CCN 145728 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Operational/Managerial Control		 Jan 7, 2014
Jan 16, 2014
Seminary ManorGalesburg, IL, CCN 145598 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2009
Parkway ManorMarion, IL, CCN 145841 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2009
Pekin ManorPekin, IL, CCN 145597 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jun 1, 2009
Centralia ManorCentralia, IL, CCN 145666 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jun 1, 2009
River Hills VillageKeokuk, IA, CCN 165396 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2010

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1194133017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 W WESTRIDGE PLACE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011082",
            "telephone_number": "618-457-1010",
            "fax_number": "618-351-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 W WESTRIDGE PLACE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011082",
            "telephone_number": "618-457-1010",
            "fax_number": "618-351-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED DEVELOPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-343-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0052894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0052894",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UDI 5 LLC Manor Court of Carbondale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.