Rutledge Joint Ventures, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0041699 Issued in IL

Legal business name

RUTLEDGE JOINT VENTURES, LLC

Doing business as

Heritage Health - Springfield

Practice address

900 N Rutledge St
Springfield, IL 62702-3721

Phone

(217) 789-0930

Fax

(217) 789-6465

NPI assigned

Nov 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David M Underwood

Title

Sr. VP & Cfo

Phone

(309) 823-7135

Specialties & licenses 2

Addresses

Other names 1

• Heritage Health - Springfield Doing business as

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1750372595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W JEFFERSON ST",
            "address_2": "STE 401",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013946",
            "telephone_number": "309-828-4361",
            "fax_number": "309-829-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N RUTLEDGE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023721",
            "telephone_number": "217-789-0930",
            "fax_number": "217-789-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLEDGE JOINT VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VP & CFO",
        "authorized_official_telephone_number": "309-823-7135",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0041699",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "0041699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Health - Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marina K Russo, MD
• Michael Jonathan Russo, DO
• Christy M Rutherford, LCPC
• Rutledge - Regency Operations, LLC
• Rutledge Joint Ventures, LLC
• Rutledge-Regency Operations, LLC
• Amanda Leigh Ruyle-Ryan, GNP
• Benjamin L Ruyle, M.ED
• Kennedy Nicole Ruyle
• Dominic Giafagleone Ryaddigan, LCSW

• Skilled Nursing Facility in Springfield, IL
• Providers in Springfield, 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 May 27, 2014; 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.