Active NPI
Au Well Care Home Inc
- Skilled Nursing Facility
- Maryville, IL
National Provider Identifier
1619719044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- AU WELL CARE HOME INC
- Practice address
- 152 Wilma Dr
Maryville, IL 62062-5435 - Phone
- (618) 344-7750
- Fax
- (618) 344-3520
- NPI assigned
- Jun 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ahsan Usman, MD
- Title
- President
- Phone
- (618) 344-7750
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
152 Wilma Dr
Maryville, IL 62062-5435
Mailing address
6 Indian Creek Lane
Frontenac, MO 63131
Phone (618) 344-7750
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Belleville, IL
- NPI 1215016571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717718400000",
"number": "1619719044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 INDIAN CREEK LANE",
"city": "FRONTENAC",
"state": "MO",
"postal_code": "63131",
"telephone_number": "618-344-7750",
"fax_number": "618-344-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 WILMA DR",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625435",
"telephone_number": "618-344-7750",
"fax_number": "618-344-3520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AU WELL CARE HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-07",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A",
"authorized_official_last_name": "USMAN",
"authorized_official_first_name": "AHSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-344-7750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.