Beardstown Supportive Living LLC
Organization Active NPI Assisted Living Facility · Beardstown, IL
NPI 1689355109 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1689355109
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- BEARDSTOWN SUPPORTIVE LIVING LLC
- Practice address
- 8570 Saint Lukes Dr
Beardstown, IL 62618-9200 - Phone
- (217) 323-1860
- NPI assigned
- Jul 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Shai Berdugo
- Title
- Authorized Official
- Phone
- (217) 323-1860
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
8570 Saint Lukes Dr
Beardstown, IL 62618-9200
Mailing address
575 Route 70
Brick, NJ 08723-4042
Other providers in Beardstown, IL
- Cheryl Bauser
- Ricky Joe Beal
- Beardstown Cu SCH Dist 15
- Beardstown Health and Rehab Center LLC
- Beardstown Health and Rehab Center LLC
- Beardstown Therapy Clinic
- Laurie Jean Beavers
- Amanda J Bechard
- Kembra Bell
- Mary Agnes Bigelow
All providers in Beardstown, IL · Assisted Living Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.