Organization Active NPI

General Baptist Nursing Home, Inc.

Doing business as Oakview Villa Supportive Living

  • Assisted Living Facility
  • Mount Carmel, IL
National Provider Identifier
1497999213
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GENERAL BAPTIST NURSING HOME, INC.
Doing business as
Oakview Villa Supportive Living
Practice address
916 Oak St
Mount Carmel, IL 62863-2455
Phone
(618) 263-4092
NPI assigned
Apr 23, 2009
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Mrs. Gay L. Edmonds
Title
Administrator
Phone
(618) 263-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

916 Oak St
Mount Carmel, IL 62863-2455

Mailing address

916 Oak St
Mount Carmel, IL 62863-2455
Phone (618) 263-4094

Other names 1

  • Oakview Villa Supportive Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1497999213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 OAK ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632455",
            "telephone_number": "618-263-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 OAK ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632455",
            "telephone_number": "618-263-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL BAPTIST NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "GAY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-263-4092",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakview Villa Supportive Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Carmel, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.