United Methodist Village North Campus

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

UNITED METHODIST VILLAGE NORTH CAMPUS

Practice address

2101 James St
Lawrenceville, IL 62439-2027

Phone

(618) 943-3444

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By 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

Mrs. Paula McKnight

Title

Ceo/Administrator

Phone

(618) 943-3444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1437699303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JAMES ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392027",
            "telephone_number": "618-943-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JAMES ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392027",
            "telephone_number": "618-943-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METHODIST VILLAGE NORTH CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "618-943-3444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Macey Thacker, NP-C
• Jena Thomason
• Lyndsey R Trotter, MSW
• Matthew Turner
• United Methodist Village Inc (United Methodist Village, The)
• United Methodist Village South Campus
• Vicki Louise Valencia
• Andrew Vasconcellos, MD
• Village Health Care Management LLC
• Mackenzie Vincent

• Skilled Nursing Facility in Lawrenceville, IL
• Providers in Lawrenceville, 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 Feb 27, 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.