Organization Active NPI

Washington Village Estates, LP

  • Assisted Living Facility
  • Washington, IL
National Provider Identifier
1265616536
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WASHINGTON VILLAGE ESTATES, LP
Practice address
1150 Newcastle Rd
Washington, IL 61571-1244
Phone
(309) 444-3641
Fax
(309) 444-8763
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Susan McGhee
Title
Controller
Phone
(217) 732-5175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1150 Newcastle Rd
Washington, IL 61571-1244

Mailing address

1150 Newcastle Rd
Washington, IL 61571-1244
Phone (309) 444-3641

Other names 1

  • Supportive Living of Washington Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2199445Supportive Living of Washington1150 Newcastle Rd, Washington, IL 61571Certificate of waiverNov 8, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1265616536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NEWCASTLE RD",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615711244",
            "telephone_number": "309-444-3641",
            "fax_number": "309-444-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NEWCASTLE RD",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615711244",
            "telephone_number": "309-444-3641",
            "fax_number": "309-444-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON VILLAGE ESTATES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "217-732-5175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supportive Living of Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.