Morris SNF Management, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0050468 Issued in IL

Legal business name

MORRIS SNF MANAGEMENT, LLC

Doing business as

Regency Care of Morris

Practice address

1095 Twilight Drive
Morris, IL 60450-3322

Phone

(815) 942-5108

Fax

(815) 942-6877

NPI assigned

Jul 16, 2006

Last updated

Aug 10, 2016By 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

Mr. Steven D Womack

Title

Managing Member

Phone

(828) 381-5360

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Regency Care of Morris Doing business as

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1356368294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1667",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286031667",
            "telephone_number": "828-324-8898",
            "fax_number": "828-322-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 TWILIGHT DRIVE",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503322",
            "telephone_number": "815-942-5108",
            "fax_number": "815-942-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS SNF MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "828-381-5360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0050468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE NUMBER",
            "identifier": "0050468",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH FACILITY NUMBER",
            "identifier": "6011381",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Care of Morris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morris Medical Center, LTD.
• Morris Nursing, LLC
• Morris Radiology Associates, Inc
• Morris School Dist 54
• Morris Senior Living
• John Moss, CADC, CODP, QMHP
• Christiane D Murphy, PTA
• Kristi Nicole Nehm, OT
• Katrina Neubauer, LCPC
• Ashley Jean Norkus, LCPC

• Skilled Nursing Facility in Morris, IL
• Providers in Morris, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.