NPIMap

Organization Active NPI

O'Fallon Healthcare Center

  • Skilled Nursing Facility
  • O Fallon, IL
National Provider Identifier
1619966470
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0036194 Issued in IL
Legal business name
O'FALLON HEALTHCARE CENTER
Practice address
700 Weber Rd
O Fallon, IL 62269-2248
Phone
(618) 632-3511
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Greer
Title
Owner
Phone
(618) 632-3511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0036194 IL Primary

Addresses

Primary practice location

700 Weber Rd
O Fallon, IL 62269-2248

Mailing address

700 Weber Rd
O Fallon, IL 62269-2248
Phone (618) 632-3511

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619966470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WEBER RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692248",
            "telephone_number": "618-632-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WEBER RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692248",
            "telephone_number": "618-632-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'FALLON HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-632-3511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0036194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.