St. Joseph'S Home of Springfield

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0013839 Issued in IL

Legal business name

ST. JOSEPH'S HOME OF SPRINGFIELD

Practice address

3306 S 6TH Street Rd
Springfield, IL 62703-4735

Phone

(217) 529-5596

Fax

(217) 585-0104

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Sr. Judith Morris

Title

Administrator

Phone

(217) 529-5596

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1740463074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 S 6TH STREET RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034735",
            "telephone_number": "217-529-5596",
            "fax_number": "217-585-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 S 6TH STREET RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034735",
            "telephone_number": "217-529-5596",
            "fax_number": "217-585-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S HOME OF SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "SR. JUDITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-529-5596"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0013839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Springfield, IL
• Providers in Springfield, 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 Dec 10, 2007; 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.