Generations at Peoria, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GENERATIONS AT PEORIA, LLC

Practice address

5600 N Glen Elm Dr
Peoria, IL 61614-4340

Phone

(309) 693-8777

NPI assigned

Sep 6, 2018

Last updated

Sep 6, 2018By 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

Thomas Winter

Title

Cfo

Phone

(847) 674-5200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1548742455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122628",
            "telephone_number": "847-674-5200",
            "fax_number": "847-675-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 N GLEN ELM DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144340",
            "telephone_number": "309-693-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS AT PEORIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-674-5200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Ruth Geiger
• Kyle David Geirnaeirt, ATC
• Roger William Geiss, M.D.
• Heidi L Gendron, APN
• Jacob Jeffrey Gendron, PHARM.D
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Kathryn Gensel, NP
• George Gentry, MD
• Francois J Geoffroy, MD

• Skilled Nursing Facility in Peoria, IL
• Providers in Peoria, 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 Sep 6, 2018; 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.