Active NPI
Bonum Inc
Doing business as Meadowood
- Skilled Nursing Facility
- Grayville, IL
National Provider Identifier
1871695288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0019356
- Legal business name
- BONUM INC
- Doing business as
- Meadowood
- Practice address
- 320 S 2ND St
Grayville, IL 62844-1527 - Phone
- (618) 375-2171
- Fax
- (618) 375-7756
- NPI assigned
- Sep 5, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Andrew Cunningham
- Title
- Administrator
- Phone
- (618) 375-2171
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0019356 | IL | |
| Skilled Nursing Facility | 314000000X | 0019356 | IL | Primary |
Addresses
Primary practice location
320 S 2ND St
Grayville, IL 62844-1527
Mailing address
320 South Second Street
Grayville, IL 62844-1567
Phone (618) 375-2171
Other names 1
- Meadowood
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0436149 | Meadowood | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1871695288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SOUTH SECOND STREET",
"city": "GRAYVILLE",
"state": "IL",
"postal_code": "628441567",
"telephone_number": "618-375-2171",
"fax_number": "618-375-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S 2ND ST",
"city": "GRAYVILLE",
"state": "IL",
"postal_code": "628441527",
"telephone_number": "618-375-2171",
"fax_number": "618-375-7756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONUM INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "618-375-2171",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IL",
"license": "0019356",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0019356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Meadowood",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grayville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.