Carbondale SLF, LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

CERTIFICATION Issued in IL

Legal business name

CARBONDALE SLF, LP

Doing business as

Prairie Living at Chautauqua

Practice address

955 Villa CT
Carbondale, IL 62901-6001

Phone

(618) 351-7955

Fax

(618) 351-6955

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Howard William Saver

Title

Administrator

Phone

(618) 351-7955

Specialties & licenses 1

Addresses

Other names 1

• Prairie Living at Chautauqua Doing business as

Locations

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679779045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 VILLA CT",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629016001",
            "telephone_number": "618-351-7955",
            "fax_number": "618-351-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 VILLA CT",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629016001",
            "telephone_number": "618-351-7955",
            "fax_number": "618-351-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBONDALE SLF, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAVER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-351-7955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "CERTIFICATION",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Living at Chautauqua",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Carbondale, IL
• Providers in Carbondale, 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 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.