Red Bud Illinois Hospital Company LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0045476 Issued in IL

Legal business name

RED BUD ILLINOIS HOSPITAL COMPANY LLC

Doing business as

Red Bud Nursing Home

Practice address

350 W South 1St St
Red Bud, IL 62278-1116

Phone

(618) 282-3891

Fax

(618) 282-4070

NPI assigned

Mar 20, 2006

Last updated

Aug 11, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

RED BUD ILLINOIS HOSPITAL COMPANY LLCAs reported in NPPES

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

Authorized official

Name

Randy Michael Cooper

Title

SVP Finance Op/Authorized Official

Phone

(615) 221-3840

Specialties & licenses 1

Addresses

Other names 1

• Red Bud Nursing Home Doing business as

Part of

Red Bud Regional Hospit

Locations

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1710946801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503891",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631503891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W SOUTH 1ST ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781116",
            "telephone_number": "618-282-3891",
            "fax_number": "618-282-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BUD ILLINOIS HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RED BUD ILLINOIS HOSPITAL COMPANY LLC",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP FINANCE OP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3840"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0045476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Bud Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red Bud Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Red Bud Clinic Corp
• Red Bud Comm Unit School Dist 132
• Red Bud Home Care Services, LLC (Red Bud Regional Home Care)
• Red Bud Illinois Hospital Company LLC (Red Bud Health Clinic)
• Red Bud Illinois Hospital Company LLC (Red Bud Regional Hospital)
• Red Bud Illinois Hospital Company LLC (Red Bud Regional Hospital)
• Red Bud Illinois Hospital Company, LLC (Red Bud Regional Hospital)
• Red Bud Illinois Hospital Company, LLC (Older Adult Health Center)
• Red Bud Physician Group LLC
• Peggy Ann Rehmer, RPH

• Nursing Facility/Intermediate Care Facility in Red Bud, IL
• Providers in Red Bud, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.