NPIMap

Organization Active NPI

Pinckneyville Healthcare Center LLC

  • Nursing Facility/Intermediate Care Facility
  • Centralia, IL
National Provider Identifier
1457476632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
PINCKNEYVILLE HEALTHCARE CENTER LLC
Practice address
708 Virginia Court
Centralia, IL 62801
Phone
(618) 357-2493
Fax
(618) 357-3120
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Gary Dean Albert
Title
Administrator
Phone
(618) 357-2493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X IL Primary

Addresses

Primary practice location

708 Virginia Court
Centralia, IL 62801

Mailing address

708 Virginia CT
Pinckneyville, IL 62274-1538
Phone (618) 357-2493

National Provider Directory

National Provider Directory
Tax ID family
Pinckneyville Healthcare Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457476632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 VIRGINIA CT",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741538",
            "telephone_number": "618-357-2493",
            "fax_number": "618-357-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 VIRGINIA COURT",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-357-2493",
            "fax_number": "618-357-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINCKNEYVILLE HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-357-2493",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

  • 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.