United Methodist Village South Campus

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

UNITED METHODIST VILLAGE SOUTH CAMPUS

Practice address

1616 Cedar St
Lawrenceville, IL 62439-2154

Phone

(618) 943-3347

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. Ashli Wesley

Title

Administrator

Phone

(618) 943-3347

Specialties & licenses 1

Addresses

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": "1528508496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CEDAR ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392154",
            "telephone_number": "618-943-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CEDAR ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392154",
            "telephone_number": "618-943-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METHODIST VILLAGE SOUTH CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "WESLEY",
        "authorized_official_first_name": "ASHLI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-943-3347",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jena Thomason
• Lyndsey R Trotter, MSW
• Matthew Turner
• United Methodist Village Inc (United Methodist Village, The)
• United Methodist Village North Campus
• Vicki Louise Valencia
• Andrew Vasconcellos, MD
• Village Health Care Management LLC
• Mackenzie Vincent
• Wabash General Hospital District (Wabash Community Health Center)

• 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.