New Way Developers, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0039958 Issued in IL

Legal business name

NEW WAY DEVELOPERS, INC.

Doing business as

Chestnut Manor

Practice address

1404 S 14TH St
Herrin, IL 62948-4125

Phone

(618) 942-4578

Fax

(618) 942-2328

NPI assigned

May 2, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Susan South

Title

Administrator

Phone

(618) 942-4578

Specialties & licenses 1

Addresses

Other names 1

• Chestnut Manor Doing business as

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1437325123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 S 14TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629484125",
            "telephone_number": "618-942-4578",
            "fax_number": "618-942-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S 14TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629484125",
            "telephone_number": "618-942-4578",
            "fax_number": "618-942-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAY DEVELOPERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "SOUTH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-942-4578",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0039958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Talitha R Myers, LCSW
• Taylor Anne Myers, RBT
• Abdelhameed Elsayed Abdelhameed Nawwar, MD
• Nelson F Gauto MD PC
• Neurology of Southern Illinois, LTD.
• Nova M. Griffith, PH.D., Psychological Services LLC
• John W Nugent, PAC
• Kassandra Leigh O'Bryan, RBT
• Micah Oakley, PA-C
• Kevin D Oestmann, MD

• Intellectual Disabilities Intermediate Care Facility in Herrin, IL
• Providers in Herrin, IL by specialty
• Intellectual Disabilities Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.