Wabash Estates, LP

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

WABASH ESTATES, LP

Practice address

532 Abelson Dr
Carmi, IL 62821-1588

Phone

(618) 382-2900

Fax

(618) 382-8067

NPI assigned

Jun 10, 2016

Last updated

Jun 10, 2016By 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

Mrs. Susan McGhee

Title

Chief Financial Officer

Phone

(314) 587-7903

Specialties & licenses 1

Addresses

Other names 1

• Supportive Living of Wabash Other name

Tax ID family

Supportive Living of Wabash2 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.

• Wabash Estates, LP

  dba Supportive Living of Wabash

  • Assisted Living Facility
  • Carmi, IL
  • NPI 1538356704
  NPD tax ID

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1881043719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 ABELSON DR",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211588",
            "telephone_number": "618-382-2900",
            "fax_number": "618-382-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 ABELSON DR",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211588",
            "telephone_number": "618-382-2900",
            "fax_number": "618-382-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH ESTATES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "314-587-7903",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supportive Living of Wabash",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Danielle Trout, CCC-SLP
• Lucretia Drew Vaupel
• Jacob Voyles
• Wabash Christian Therapy and Medical Clinic LLC (Wabash Christian Therapy)
• Wabash Estates, LP (Supportive Living of Wabash)
• Wabash Senior Living & Rehabilitation LLC
• Wal-Mart Stores, Inc (Vision Center 30-0833)
• Sally Walker, MA,BS
• Walmart Inc.
• Megan Warren Anderson, BA

• Non-emergency Medical Transport (VAN) in Carmi, IL
• Providers in Carmi, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.