Active NPI
Unlimited Development, Inc
- Skilled Nursing Facility
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 145841
- Legal business name
- UNLIMITED DEVELOPMENT, INC
- Practice address
- 3116 Williamson County Pkwy
Marion, IL 62959-5212 - Phone
- (618) 993-8600
- Fax
- (618) 993-5887
- NPI assigned
- Oct 3, 2005
- 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
- Mr. Ronald J Wilson
- Title
- Cfo
- Phone
- (309) 343-1550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 145841 | IL | Primary |
Addresses
Primary practice location
3116 Williamson County Pkwy
Marion, IL 62959-5212
Mailing address
3116 Williamson County Pkwy
Marion, IL 62959-5212
Phone (618) 993-8600
Other names 1
- UDI 1 Parkway Manor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090721000198 | IL | Part A Provider - Skilled Nursing Facility | 6901995513 | Practice locations: Marion, IL |
Skilled nursing facility certification: CCN 145841
- Legal name
- UNLIMITED DEVELOPMENT, INC
- Doing business as
- PARKWAY MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 22, 1995
- Last certification
- Apr 4, 2025
- Beds
- 131
- Ownership / control type
- Nonprofit Corporation
- Most recent change of ownership
- Mar 2, 2006
- Organization structure
- Corporation
- Incorporated
- Mar 3, 2005 in IL
- Enrollment address
- 3116 Williamson County Pkwy
Marion, IL 62959-5212 - Nursing home name
- PARKWAY MANOR
- 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
- Parkway Manor
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jun 22, 1995
- Medicare certification status
- Active
- Certified beds
- 131
- Chain
- Unlimited Development, Inc.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0902980 | Parkway Manor | Certificate of waiver | Jul 6, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Unlimited Development Inc
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Centralia, IL
- NPI 1689660961
-
- Skilled Nursing Facility
- Pekin, IL
- NPI 1760479505
-
- Skilled Nursing Facility
- Pittsfield, IL
- NPI 1992792147
-
- Skilled Nursing Facility
- Maryville, IL
- NPI 1013904366
-
- Skilled Nursing Facility
- Carbondale, IL
- NPI 1194133017
-
- Skilled Nursing Facility
- Galesburg, IL
- NPI 1659305407
-
- Skilled Nursing Facility
- Shelbyville, IL
- NPI 1851387260
-
- Skilled Nursing Facility
- Jerseyville, IL
- NPI 1578558300
-
- Skilled Nursing Facility
- Keokuk, IA
- NPI 1760707053
Locations
3116 Williamson County Pkwy
Marion, IL 62959
Phone (618) 988-6034
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Audrey J Finke | Corporate Officer | Aug 29, 2018 | |
| Corporate Director | Aug 29, 2018 | ||
| Jerry D Gilmore | Corporate Director | May 15, 2006 | |
| Ronald J Wilson | Corporate Officer | Aug 29, 2018 | |
| David S Haney | Corporate Director | May 15, 2006 | |
| Unlimited Development, Inc | 5% Or Greater Direct Ownership Interest | Jun 1, 2009 | 100% |
| Robert H Wagner | Corporate Officer | Aug 29, 2018 | |
| Corporate Director | May 15, 2006 | ||
| Tenia Calhoon | W-2 Managing Employee | May 15, 2006 |
Owners & managing parties with NPI records 10
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Skilled Nursing Facility
- Centralia, IL
- NPI 1689660961
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Pekin, IL
- NPI 1760479505
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Pittsfield, IL
- NPI 1992792147
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Maryville, IL
- NPI 1013904366
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Carbondale, IL
- NPI 1194133017
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Galesburg, IL
- NPI 1659305407
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Shelbyville, IL
- NPI 1851387260
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Jerseyville, IL
- NPI 1578558300
5% Or Greater Direct Ownership Interest
-
- Family Medicine Physician
- Galesburg, IL
- NPI 1588663017
Corporate Director, Corporate Officer
-
- Skilled Nursing Facility
- Keokuk, IA
- NPI 1760707053
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Manor Court of Maryville | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) Operational/Managerial Control |
Jan 7, 2014 Jan 16, 2014 |
| Seminary Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2009 |
| Pekin Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Jun 1, 2009 |
| Centralia Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Jun 1, 2009 |
| River Hills Village | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2010 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Centralia, IL
- NPI 1689660961
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Pekin, IL
- NPI 1760479505
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Maryville, IL
- NPI 1013904366
5% Or Greater Indirect Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Galesburg, IL
- NPI 1659305407
5% Or Greater Direct Ownership Interest
-
- Skilled Nursing Facility
- Keokuk, IA
- NPI 1760707053
5% Or Greater Direct Ownership Interest
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Centralia, IL
- NPI 1689660961
Unlimited Development, Inc
-
- Skilled Nursing Facility
- Pekin, IL
- NPI 1760479505
Unlimited Development, Inc
-
- Skilled Nursing Facility
- Maryville, IL
- NPI 1013904366
Unlimited Development, Inc
-
- Skilled Nursing Facility
- Galesburg, IL
- NPI 1659305407
Unlimited Development, Inc
-
- Skilled Nursing Facility
- Keokuk, IA
- NPI 1760707053
Unlimited Development, Inc
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260748800000",
"number": "1225025596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 WILLIAMSON COUNTY PKWY",
"city": "MARION",
"state": "IL",
"postal_code": "629595212",
"telephone_number": "618-993-8600",
"fax_number": "618-993-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3116 WILLIAMSON COUNTY PKWY",
"city": "MARION",
"state": "IL",
"postal_code": "629595212",
"telephone_number": "618-993-8600",
"fax_number": "618-993-5887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNLIMITED DEVELOPMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2009-12-14",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "145841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UDI 1 Parkway Manor",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.