The Lodge at Manito, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE LODGE AT MANITO, LLC

Practice address

1303 S East Ave
Manito, IL 61546-8910

Phone

(309) 968-5330

NPI assigned

Nov 30, 2023

Last updated

Nov 30, 2023By 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

Joseph C Tutera

Title

Manager

Phone

(181) 644-4090

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1457127409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 STATE LINE RD STE 301",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141698",
            "telephone_number": "816-444-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S EAST AVE",
            "city": "MANITO",
            "state": "IL",
            "postal_code": "615468910",
            "telephone_number": "309-968-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LODGE AT MANITO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "181-644-4090"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R & Q Corporation (Manito Pharmacy)
• Allison Schuette
• Timothy W Sondag, APRN, FNP-C ,RN, MSN
• Spring Lake CC Dist 606
• Erika L Switzer Hunter, MD
• Mellissa Ward

• Assisted Living Facility in Manito, IL
• Providers in Manito, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.