NPIMap

Organization Active NPI

Covenant Care Meadow Manor, LLC

  • Skilled Nursing Facility
  • Taylorville, IL
National Provider Identifier
1841599180
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
11528 Issued in IL
Legal business name
COVENANT CARE MEADOW MANOR, LLC
Practice address
800 McAdam Dr
Taylorville, IL 62568-9634
Phone
(217) 824-2277
Fax
(217) 287-7763
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Carol Sparks
Title
Director of Reimbursement
Phone
(949) 349-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 11528 IL Primary

Addresses

Primary practice location

800 McAdam Dr
Taylorville, IL 62568-9634

Mailing address

800 McAdam Dr
Taylorville, IL 62568-9634
Phone (217) 824-2277

Other names 1

  • Meadow Manor Skilled Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1841599180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MCADAM DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625689634",
            "telephone_number": "217-824-2277",
            "fax_number": "217-287-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MCADAM DR",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625689634",
            "telephone_number": "217-824-2277",
            "fax_number": "217-287-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT CARE MEADOW MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "949-349-1200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "11528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadow Manor Skilled Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.