WC- Effingham Estates Ops LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WC- EFFINGHAM ESTATES OPS LLC

Practice address

1101 N Maple St
Effingham, IL 62401-1790

Phone

(217) 347-5871

Fax

(217) 347-5879

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Annie Wendt

Title

Executive Director

Phone

(217) 347-5871

Specialties & licenses 1

Addresses

Other names 1

• Brookstone Estates of Effingham Doing business as

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1295123545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N MAPLE ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011790",
            "telephone_number": "217-347-5871",
            "fax_number": "217-347-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N MAPLE ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624011790",
            "telephone_number": "217-347-5871",
            "fax_number": "217-347-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WC- EFFINGHAM ESTATES OPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "WENDT",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-347-5871",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookstone Estates of Effingham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Warner
• Cassidy Nicole Warren
• Chancie Warren, PMHNP
• Vincent S Warren, B.S. CADC
• Nicholas D Watkins, PA-C
• Weber Optiks Inc.
• Anthony R Weber, O.D.
• Christopher Paul Weber, O.D.
• Kathleen Weber, FNP-BC
• Mallory Clare Weber

• Assisted Living Facility in Effingham, IL
• Providers in Effingham, 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 Jan 21, 2015; 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.