Seminary Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0047233 Issued in IL

Legal business name

SEMINARY MANOR

Practice address

2345 N Seminary St
Galesburg, IL 61401-1202

Phone

(309) 344-1300

Fax

(309) 344-2473

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Susie Davis

Title

Director of Nursing

Phone

(309) 344-1300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235126012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 N SEMINARY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011202",
            "telephone_number": "309-344-1300",
            "fax_number": "309-344-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 N SEMINARY ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011202",
            "telephone_number": "309-344-1300",
            "fax_number": "309-344-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINARY MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "309-344-1300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0047233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lyn Schulenberg, MS, CCC-SLP
• Jane Cecile Schwab, CRNFA
• Holly Lyn Scrivner
• Hillary Searles, NP
• Matthew Robert Sehring, D.O.
• Shana M Sewick, MS, LAT, ATC
• Salha Sabeeha Shajahan, MD
• Idelle Butler Shane, MSW BCD LCSW
• Lucy Shannon, LPN
• Deborah Jean Shearer

• Skilled Nursing Facility in Galesburg, IL
• Providers in Galesburg, 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 Aug 22, 2020; 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.