NPIMap

Organization Active NPI

Genesis Health System

Doing business as Illini Restorative Care

  • Skilled Nursing Facility
  • Silvis, IL
National Provider Identifier
1447204375
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GENESIS HEALTH SYSTEM
Doing business as
Illini Restorative Care
Practice address
1455 Hospital Rd
Silvis, IL 61282-1834
Phone
(309) 281-3272
Fax
(309) 281-3269
NPI assigned
May 22, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Michael Moore
Title
Ceo
Phone
(309) 281-3272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X IL Primary
Long Term Care Hospital 282E00000X IL

Addresses

Primary practice location

1455 Hospital Rd
Silvis, IL 61282-1834

Mailing address

1455 Hospital Rd
Silvis, IL 61282-1834
Phone (309) 281-3272

Other identifiers 2

IdentifierTypeStateIssuer
A6128206OtherJOHN DEERE HEALTHCARE
0973OtherILILLINOIS BLUE CROSS

Other names 1

  • ILLINI RESTORATIVE CARE Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447204375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 HOSPITAL RD",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821834",
            "telephone_number": "309-281-3272",
            "fax_number": "309-281-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 HOSPITAL RD",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821834",
            "telephone_number": "309-281-3272",
            "fax_number": "309-281-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-281-3272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTHCARE",
            "identifier": "A6128206",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS BLUE CROSS",
            "identifier": "0973",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ILLINI RESTORATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silvis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.