Edwardsville Healthcare Center Investors, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0046557 Issued in IL

Legal business name

EDWARDSVILLE HEALTHCARE CENTER INVESTORS, LLC

Doing business as

University Nursing & Rehabilitation

Practice address

1095 University Dr
Edwardsville, IL 62025-3961

Phone

(618) 656-1081

Fax

(618) 656-7083

NPI assigned

Jul 28, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Wood

Title

Office Manager

Phone

(618) 656-1081

Specialties & licenses 1

Addresses

Other names 1

• University Nursing & Rehabilitation Doing business as

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1225269145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 UNIVERSITY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253961",
            "telephone_number": "618-656-1081",
            "fax_number": "618-656-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 UNIVERSITY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253961",
            "telephone_number": "618-656-1081",
            "fax_number": "618-656-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDSVILLE HEALTHCARE CENTER INVESTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-656-1081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0046557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.