Virgil L Calvert Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

25398644 Issued in IL

Legal business name

VIRGIL L CALVERT CARE CENTER

Practice address

5050 Summit Ave
East Saint Louis, IL 62203-1026

Phone

(618) 874-3597

Fax

(618) 874-0240

NPI assigned

Mar 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. Moshe Herman

Title

Comptroller

Phone

(847) 982-2300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710003421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773341",
            "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": "5050 SUMMIT AVE",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622031026",
            "telephone_number": "618-874-3597",
            "fax_number": "618-874-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGIL L CALVERT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "847-982-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "25398644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United We Trust Home Care
• Uplift Homecare LLC
• Mayra Velasco
• Virgil Calvert Nursing & Rehabilitation Center
• Virgil Calvert Nursing & Rehabilitation Center
• W-T Services Inc.
• Margi Lynn Wagner-Farley
• Walgreen Co
• Ranita A Walker, CPT
• Kim Wenona White, CNS-BC

• Skilled Nursing Facility in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Skilled Nursing 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.