Saxony CT of East Peoria, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SAXONY CT OF EAST PEORIA, LLC

Practice address

500 Centennial Dr
East Peoria, IL 61611-4912

Phone

(309) 694-0022

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Moshe Freedman

Title

Manager

Phone

(309) 694-0022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1306415070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 DELMAR BLVD STE 225",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CENTENNIAL DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616114912",
            "telephone_number": "309-694-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAXONY CT OF EAST PEORIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "309-694-0022"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Roop
• Rosewood Care Center, Inc of East Peoria
• Kandace Roth
• Jeremy Rutherford, PHARMD.
• Genevieve Ines Salazar, LAC
• Sydney Scamihorn
• Kerri Jean Schafer, APN
• Theresa Schaffer
• Kevin J Schrock, O. T.
• Jessi D Schwind, PT

• Assisted Living Facility in East Peoria, IL
• Providers in East Peoria, 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 Jun 17, 2021; 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.