NPIMap

Organization Active NPI

Caseyville Nursing & Rehabilitation Center Inc.

  • Oxygen Equipment & Supplies (DME)
  • Caseyville, IL
National Provider Identifier
1598930240
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
00396444 Issued in IL
Legal business name
CASEYVILLE NURSING & REHABILITATION CENTER INC.
Practice address
601 W Lincoln Ave
Caseyville, IL 62232-1306
Phone
(847) 982-2300
Fax
(847) 982-2304
NPI assigned
Apr 24, 2008
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Hillel Bachrach
Title
Officer
Phone
(847) 982-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 00396444 IL Primary

Addresses

Primary practice location

601 W Lincoln Ave
Caseyville, IL 62232-1306

Mailing address

601 W Lincoln Ave
Caseyville, IL 62232-1306
Phone (847) 982-2300

National Provider Directory

National Provider Directory
Tax ID family
Caseyville Nursing Rehab Ctr2 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": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1598930240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W LINCOLN AVE",
            "city": "CASEYVILLE",
            "state": "IL",
            "postal_code": "622321306",
            "telephone_number": "847-982-2300",
            "fax_number": "847-982-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W LINCOLN AVE",
            "city": "CASEYVILLE",
            "state": "IL",
            "postal_code": "622321306",
            "telephone_number": "847-982-2300",
            "fax_number": "847-982-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEYVILLE NURSING & REHABILITATION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "BACHRACH",
        "authorized_official_first_name": "HILLEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "847-982-2300"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "00396444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caseyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.