Cottages at Salem, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COTTAGES AT SALEM, INC.

Practice address

339 S Hotze Rd
Salem, IL 62881-6858

Phone

(618) 740-0372

NPI assigned

Feb 14, 2020

Last updated

Feb 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Rapp

Title

Chief Operating Officer

Phone

(618) 594-8581

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1255964573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 S HOTZE RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628816858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 S HOTZE RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628816858",
            "telephone_number": "618-740-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGES AT SALEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "618-594-8581"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Allen Clark, D.M.D.
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• Community Resource Center Inc
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• County of Marion (Marion County Health Dept)
• County of Marion (Marion County Health Dept)
• Crossroads Physician Corp (Crossroads Family Medicine of Salem)
• Samuel Dalagan, P.T.
• Alexis Kate De Jager

• Assisted Living Facility in Salem, IL
• Providers in Salem, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.