Fox Meadows SLF LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

001 Issued in IL

Legal business name

FOX MEADOWS SLF LP

Doing business as

Heritage Woods of McLeansboro

Practice address

605 S Marshall Ave
MC Leansboro, IL 62859-1267

Phone

(618) 643-2908

NPI assigned

Apr 16, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

HERITAGE WOODS OF MCLEANSBOROAs reported in NPPES

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

Authorized official

Name

Kendra Jo Millenbine

Title

Administrator

Phone

(618) 643-2908

Specialties & licenses 1

Addresses

Other names 1

• Heritage Woods of McLeansboro Doing business as

Part of

Fox Meadows SLF LP

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972946382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S MARSHALL AVE",
            "city": "MC LEANSBORO",
            "state": "IL",
            "postal_code": "628591267",
            "telephone_number": "618-643-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S MARSHALL AVE",
            "city": "MC LEANSBORO",
            "state": "IL",
            "postal_code": "628591267",
            "telephone_number": "618-643-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX MEADOWS SLF LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE WOODS OF MCLEANSBORO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MILLENBINE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-643-2908"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Woods of McLeansboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in McLeansboro, IL
• Providers in McLeansboro, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.