Springfield Terrace, LTD

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0032961 Issued in IL

Legal business name

SPRINGFIELD TERRACE, LTD

Practice address

525 S Martin Luther King Jr Dr
Springfield, IL 62703-1317

Phone

(217) 789-1680

Fax

(217) 789-0842

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Melvin Siegel

Title

President

Phone

(847) 679-0100

Specialties & licenses 1

Addresses

Tax ID family

Springfield Terrace LTD2 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.

• Springfield Terrace, LTD

  • Mental Illness Intermediate Care Facility
  • Skokie, IL
  • NPI 1255399275
  NPD tax ID

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902804305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S MARTIN LUTHER KING JR DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031317",
            "telephone_number": "217-789-1680",
            "fax_number": "217-789-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S MARTIN LUTHER KING JR DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627031317",
            "telephone_number": "217-789-1680",
            "fax_number": "217-789-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD TERRACE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-679-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0032961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Periodontics LLC
• Springfield Psychological Center, LLC
• Springfield Radiologists SC
• Springfield Suites Rehab and Nursing LLC
• Springfield Supportive Living
• Springfield Treatment Center, LLC
• Springfield Unit 186
• Springfield Vision Care Associates, LTD
• Springhealth Behavioral Health and Integrated Care Illinois, LLC
• Christopher A Sprinkel, PA-C

• Nursing Facility/Intermediate Care Facility in Springfield, IL
• Providers in Springfield, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.