Organization Active NPI

Wabash Estates, LP

Doing business as Supportive Living of Wabash

  • Assisted Living Facility
  • Carmi, IL
National Provider Identifier
1538356704
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WABASH ESTATES, LP
Doing business as
Supportive Living of Wabash
Practice address
532 Abelson Dr
Carmi, IL 62821-1588
Phone
(618) 382-2900
Fax
(618) 382-8067
NPI assigned
Oct 1, 2007
Last updated
Dec 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Mrs. Susan McGhee
Title
Chief Financial Officer
Phone
(314) 587-7903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

532 Abelson Dr
Carmi, IL 62821-1588

Mailing address

532 Abelson Dr
Carmi, IL 62821-1588
Phone (618) 382-2900

Other names 1

  • Supportive Living of Wabash Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Supportive Living of Wabash2 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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1538356704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 ABELSON DR",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211588",
            "telephone_number": "618-382-2900",
            "fax_number": "618-382-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 ABELSON DR",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211588",
            "telephone_number": "618-382-2900",
            "fax_number": "618-382-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH ESTATES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "314-587-7903",
        "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": "Supportive Living of Wabash",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmi, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.