LTC Illinois - Friendship, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0045682 Issued in IL

Legal business name

LTC ILLINOIS - FRIENDSHIP, INC.

Practice address

1000 Martin Luther King
Centralia, IL 62801

Phone

(618) 532-3642

Fax

(618) 533-3739

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Louann Anstis

Title

Privacy Officer

Phone

(770) 619-0866

Specialties & licenses 1

Addresses

Other names 1

• FRIENDSHIP HOUSE OF CENTRALIA Doing business as

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1962435941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY",
            "address_2": "SUITE 440",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055210",
            "telephone_number": "770-619-0866",
            "fax_number": "770-870-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MARTIN LUTHER KING",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-532-3642",
            "fax_number": "618-533-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC ILLINOIS - FRIENDSHIP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "ANSTIS",
        "authorized_official_first_name": "LOUANN",
        "authorized_official_title_or_position": "PRIVACY OFFICER",
        "authorized_official_telephone_number": "770-619-0866",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0045682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRIENDSHIP HOUSE OF CENTRALIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lifestar Ambulance Service,Inc.
• Sally Johonna Lindsay, LCSW
• Bailey Morgan Lindsey
• Jill Logan
• Aubrey Elizabeth Lowry, M.C.D., CCC-SLP
• LTC of Illinois - Fireside, Inc.
• Miles Ludwigs
• Jenna Lutz
• Lyons Clinical Counseling & Associates, P.C.
• Ronald D Lyons, LCSW

• All providers in Centralia, IL
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.