VILLAGE HEALTH CARE MANAGEMENT LLC - NPI 1003809922 - Nursing Facility/Intermediate Care Facility in Lawrenceville, IL

Q: What is Village Health Care Management LLC's NPI number?

The NPI number for Village Health Care Management LLC is 1003809922. It was assigned to this organization in the NPPES registry on August 25, 2005. The provider was formerly known as Lawrenceville Manor.

Q: What is Village Health Care Management LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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About Village Health Care Management Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLAGE HEALTH CARE MANAGEMENT LLC (NPI 1003809922), doing business as Lawrenceville Manor, is a healthcare organization registered as a nursing facility/intermediate care facility in Lawrenceville, Illinois and active in the NPI registry since August 2005. The organization lists Ashli Wesley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003809922

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameVILLAGE HEALTH CARE MANAGEMENT LLC

Location Address2101 JAMES STLawrenceville, IL 62439-2027

Mailing Address2101 James StLawrenceville, IL 62439-2027 · (619) 943-3444 · Fax (618) 943-2853

Phone(619) 943-3444

Fax(618) 943-2853

Organization SubpartNo

Authorized OfficialAshli WesleyAdministrator · (618) 943-3444

Enumeration DateAugust 25, 2005

Last NPPES UpdateJune 24, 2019

✔ NPI 1003809922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in IL · 0046656

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

2101 JAMES ST, Lawrenceville, IL 62439

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Other Names 1

Former Legal Business NameLawrenceville Manor

Other Identifiers 1

Medicaid370673519002IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE DEISHER

Nurse Practitioner (Family)