St. John's Healing Community Board

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ST. JOHN'S HEALING COMMUNITY BOARD

Doing business as

St. John's Home & Community Care

Practice address

222 Goethe Ave
Collinsville, IL 62234-3306

Phone

(618) 344-5008

Fax

(618) 344-4969

NPI assigned

Apr 24, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy J. Berry, MHA

Title

Executive Director

Phone

(618) 344-5008

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• St. John's Home & Community Care Doing business as

Tax ID family

St John's Healing Community Board2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St. John's Healing Community Board

  • Adult Day Care Clinic/Center
  • Edwardsville, IL
  • NPI 1083190920
  NPD tax ID

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1871712430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 GOETHE AVE",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622343306",
            "telephone_number": "618-344-5008",
            "fax_number": "618-344-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 GOETHE AVE",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622343306",
            "telephone_number": "618-344-5008",
            "fax_number": "618-344-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S HEALING COMMUNITY BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-344-5008",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF REHABILITATION",
            "identifier": "AD001-2002-2007",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF RHABILITATION",
            "identifier": "96HM00649501",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Home & Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Scott Smith, RPH.
• Susan M Smith, DC
• Southern Illinois Health Care Association
• Southern Illinois Healthcare Foundation Inc (SIHF Healthcare)
• Southern Illinois Healthcare Foundation, Inc. (Central Collinsville Health Center)
• Kristin V Stahl, M.D
• Martina Renee Steed, CRNA
• Elizabeth Dawn Steele
• James J Stehman, D.M.D.
• Daniel Stephens, ATC

• Adult Day Care Clinic/Center in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Adult Day Care Clinic/Center in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.