Cottages at Carlinville, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COTTAGES AT CARLINVILLE, INC

Practice address

18804 RT. 4
Carlinville, IL 62626

Phone

(217) 854-2001

Fax

(618) 594-8582

NPI assigned

Oct 31, 2019

Last updated

Oct 31, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Michael Greer

Title

President

Phone

(618) 594-8581

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1710521984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 FRANKLIN STREET",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "62231",
            "telephone_number": "618-594-8581",
            "fax_number": "618-594-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18804 RT. 4",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "62626",
            "telephone_number": "217-854-2001",
            "fax_number": "618-594-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGES AT CARLINVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-594-8581"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Illinois Optometric Associates LTD (Advanced Eyecare of Carlinville)
• Alexander Chipman, LPC
• Changryol Choi, ATC
• Kamal K Chopra, MD
• Crystal Corso, LPC
• Covenant Care Midwest, Inc (Friendship Home)
• Makinze DC Cox
• Lourdes M Cruz, MD
• Hannah Marie Davidson, LCPC
• Peter Gordon Denby, DDS

• Assisted Living Facility in Carlinville, IL
• Providers in Carlinville, 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 Oct 31, 2019; 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.