Organization Active NPI

Morris Senior Living

  • Assisted Living Facility
  • Morris, IL
National Provider Identifier
1831331883
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MORRIS SENIOR LIVING
Practice address
1221 Edgewater Dr
Morris, IL 60450-2504
Phone
(815) 416-6200
Fax
(815) 416-6201
NPI assigned
Apr 6, 2009
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Philomena Merrithey
Title
Manager
Phone
(815) 416-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X IL Primary

Addresses

Primary practice location

1221 Edgewater Dr
Morris, IL 60450-2504

Mailing address

1221 Edgewater Dr
Morris, IL 60450-2504
Phone (815) 416-6200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1831331883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 EDGEWATER DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502504",
            "telephone_number": "815-416-6200",
            "fax_number": "815-416-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 EDGEWATER DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502504",
            "telephone_number": "815-416-6200",
            "fax_number": "815-416-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS SENIOR LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "MERRITHEY",
        "authorized_official_first_name": "PHILOMENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-416-6200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.