National Assistance Bureau, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0045732 Issued in IL

Legal business name

NATIONAL ASSISTANCE BUREAU, INC.

Practice address

Westside Care Center
601 North Columbia St
West Frankfort, IL 62896

Phone

(618) 932-2109

Fax

(618) 937-1590

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Tygh Brogdon

Title

Manager

Phone

(770) 650-8773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Westside Care Center Doing business as

Tax ID family

National Assistance Bureau Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• National Assistance Bureau, Inc.

  • Skilled Nursing Facility
  • Gallaway, TN
  • NPI 1255494894
  NPD tax ID
• National Assistance Bureau, Inc.

  • Skilled Nursing Facility
  • Tiptonville, TN
  • NPI 1609942309
  NPD tax ID

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437212016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 HEMBREE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761122",
            "telephone_number": "770-650-8773",
            "fax_number": "770-650-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTSIDE CARE CENTER",
            "address_2": "601 NORTH COLUMBIA ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "62896",
            "telephone_number": "618-932-2109",
            "fax_number": "618-937-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL ASSISTANCE BUREAU, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "TYGH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-650-8773"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0045732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "582489411001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in West Frankfort, IL
• Providers in West Frankfort, 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 22, 2020; 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.