Active NPI
St. Vincent's Home, Inc.
- Nursing Facility Supplies (DME)
- Quincy, IL
National Provider Identifier
1255878450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility Supplies (DME)
- Legal business name
- ST. VINCENT'S HOME, INC.
- Practice address
- 1440 N 10TH St
Quincy, IL 62301-1975 - Phone
- (217) 224-3780
- Fax
- (217) 224-3827
- NPI assigned
- Jan 25, 2017
- 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. Christopher Andrew Reis, LNHA
- Title
- Vice-President
- Phone
- (217) 224-3780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | Primary |
Addresses
Primary practice location
1440 N 10TH St
Quincy, IL 62301-1975
Mailing address
1440 N 10TH St
Quincy, IL 62301-1975
Phone (217) 224-3780
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485302400000",
"number": "1255878450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 N 10TH ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623011975",
"telephone_number": "217-224-3780",
"fax_number": "217-224-3827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 N 10TH ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623011975",
"telephone_number": "217-224-3780",
"fax_number": "217-224-3827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. VINCENT'S HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-25",
"last_updated": "2017-01-25",
"status": "A",
"authorized_official_last_name": "REIS",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "217-224-3780",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.