NPIMap

Organization Active NPI

Three Springs Lodge Nursing Home LLC

  • Skilled Nursing Facility
  • Chester, IL
National Provider Identifier
1386943306
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THREE SPRINGS LODGE NURSING HOME LLC
Practice address
161 Three Springs Road
Chester, IL 62233-1064
Phone
(618) 826-3210
Fax
(618) 826-3821
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Mr. Ken Rowold
Title
Administrator
Phone
(618) 826-3210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

161 Three Springs Road
Chester, IL 62233-1064

Mailing address

161 Three Springs Road
Chester, IL 62233-1064
Phone (618) 826-3210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1386943306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 THREE SPRINGS ROAD",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331064",
            "telephone_number": "618-826-3210",
            "fax_number": "618-826-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 THREE SPRINGS ROAD",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331064",
            "telephone_number": "618-826-3210",
            "fax_number": "618-826-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE SPRINGS LODGE NURSING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "ROWOLD",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-826-3210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.