Manor at Mason Woods

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MANOR AT MASON WOODS

Practice address

223 Illinois St
Pinckneyville, IL 62274-4165

Phone

(618) 357-9770

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. J Michael Greer

Title

Owner

Phone

(618) 357-9770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801822424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 ILLINOIS ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622744165",
            "telephone_number": "618-357-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 ILLINOIS ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622744165",
            "telephone_number": "618-357-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR AT MASON WOODS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-357-9770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.