Wood River Retirement Center, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9999999 Issued in IL

Legal business name

WOOD RIVER RETIREMENT CENTER, INC

Practice address

395 E Edwardsville Rd
Wood River, IL 62095-1600

Phone

(618) 259-0851

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Chuck Schmitz

Title

Agent

Phone

(314) 994-9070

Specialties & licenses 1

Addresses

Other names 1

• Foxes Grove Supportive Living Community Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1568655801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 BORMAN DR STE 315",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464194",
            "telephone_number": "314-994-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 E EDWARDSVILLE RD",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951600",
            "telephone_number": "618-259-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD RIVER RETIREMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "314-994-9070"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "9999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foxes Grove Supportive Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wood River Chiropractic, LLC
• Wood River Dental Group LLC
• Wood River Hartford SCH Dist 15
• Wood River Healthcare & Rehabilitation Center LLC
• Wood River NH LLC
• Wood River Urgent Care and Walk in Clinic Inc
• Nickole Woods
• Woodward - CJS Pharmacy, Inc.
• Woodward CJS Pharmacy Inc
• Jill Woodward, PHARMD

• Assisted Living Facility in Wood River, IL
• Providers in Wood River, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.