Shawnee Christian Nursing Center, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0048744 Issued in IL

Legal business name

SHAWNEE CHRISTIAN NURSING CENTER, LLC

Practice address

1901 N 13TH St
Herrin, IL 62948-2839

Phone

(618) 942-7391

Fax

(618) 942-3369

NPI assigned

Oct 3, 2008

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

Locations

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1891946208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N 13TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629482839",
            "telephone_number": "618-942-7391",
            "fax_number": "618-942-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N 13TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629482839",
            "telephone_number": "618-942-7391",
            "fax_number": "618-942-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE CHRISTIAN NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2016-05-31",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "0048744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Serafini, D.C.
• Lenise Sgutt
• Gowda Sharath, MD
• Linda Sharpless, C.R.N.A.
• Shawnee Christian Nursing Center, LLC
• Shawnee Senior Living LLC
• Joshua Sheldon, PTA
• Donnie Edwin Shelton Jr., M.D.
• Barbara Lou Shiplett, P.T.
• Marshall Hillery Short, MD

• Durable Medical Equipment & Medical Supplies in Herrin, IL
• Providers in Herrin, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.