Virgil Calvert Nursing & Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0039651 Issued in IL

Legal business name

VIRGIL CALVERT NURSING & REHABILITATION CENTER

Practice address

5050 Summit Ave
East Saint Louis, IL 62203-1026

Phone

(618) 874-3597

Fax

(618) 874-0240

NPI assigned

Feb 15, 2006

Organization subpart

No

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

Authorized official

Name

Moe Herman

Title

Comptroller

Phone

(847) 982-2300

Specialties & licenses 1

Addresses

Tax ID family

Virgil Calvert Nursing Rehabilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Virgil Calvert Nursing & Rehabilitation Center

  • Oxygen Equipment & Supplies (DME)
  • East Saint Louis, IL
  • NPI 1417122169
  NPD tax ID

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720052731",
    "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 CALVERT NURSING & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "MOE",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "847-982-2300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0039651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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.