St. Vincents Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0036723 Issued in IL

Legal business name

ST. VINCENTS HOME, INC.

Practice address

1440 N 10TH St
Quincy, IL 62301-1975

Phone

(217) 224-3780

Fax

(217) 224-3827

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Paula Jane Connell

Title

Administrator

Phone

(217) 224-3780

Specialties & licenses 1

Addresses

Other names 1

• St Vincents Home Doing business as

Locations

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1558359232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N 10TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623011975",
            "telephone_number": "217-224-3780",
            "fax_number": "217-224-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N 10TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623011975",
            "telephone_number": "217-224-3780",
            "fax_number": "217-224-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENTS HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-224-3780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0036723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Vincents Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Albert Spradlin, CRNA
• Mark G Sprague, DC
• Brooke Ann Spring, D.P.T
• Sprout Therapy Services
• St. Vincent'S Home, Inc.
• Jennifer A Stajduhar, MHP
• Tonya Stamper, CNP
• Nichole Suzanne Stanley
• Tara Stark
• Laura Starman

• Skilled Nursing Facility in Quincy, IL
• Providers in Quincy, 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 Nov 30, 2011; 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.