Organization Active NPI

Bonum Inc

Doing business as Meadowood

  • Skilled Nursing Facility
  • Grayville, IL
National Provider Identifier
1871695288
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0019356 Issued in IL
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0436149Meadowood320 South Second, Grayville, IL 62844Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.