NPIMap

Organization Active NPI

Carlyle Healthcare Center

  • Nursing Facility Supplies (DME)
  • Carlyle, IL
National Provider Identifier
1346787546
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
CARLYLE HEALTHCARE CENTER
Practice address
501 Clinton St
Carlyle, IL 62231-1503
Phone
(618) 594-3112
Fax
(618) 594-2393
NPI assigned
Jan 25, 2017
Last updated
Jan 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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
(618) 594-3112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X Primary

Addresses

Primary practice location

501 Clinton St
Carlyle, IL 62231-1503

Mailing address

501 Clinton St
Carlyle, IL 62231-1503
Phone (618) 594-3112

National Provider Directory

National Provider Directory
Tax ID family
Carlyle Healthcare Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI 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": "1346787546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CLINTON ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311503",
            "telephone_number": "618-594-3112",
            "fax_number": "618-594-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CLINTON ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311503",
            "telephone_number": "618-594-3112",
            "fax_number": "618-594-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLYLE HEALTHCARE CENTER",
        "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": "618-594-3112",
        "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 Carlyle, 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.

Verify at the official NPI Registry.