VANDALIA ESTATES, LLC
NPI 1013113687
Point of Service in Vandalia, IL

Active since June 21, 2007
1607 W FILLMORE ST, VANDALIA, IL 62471(618) 283-9825(618) 283-9926 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vandalia Estates, Llc NPPES

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

VANDALIA ESTATES, LLC (NPI 1013113687) is a healthcare organization registered as a point of service in Vandalia, Illinois and active in the NPI registry since June 2007. The organization lists John Holtz, Controller, as its authorized official.

NPPES Registry Identity

NPI1013113687
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameVANDALIA ESTATES, LLC
Location Address1607 W FILLMORE STVandalia, IL 62471-3112
Mailing Address78 Centennial LoopEugene, OR 97401-7900 · (541) 747-3373 · Fax (541) 747-0673
Fax(618) 283-9926
Organization SubpartNo
Authorized OfficialJohn HoltzController · (541) 747-3373
Enumeration DateJune 21, 2007
Last NPPES UpdateMay 14, 2008
NPI 1013113687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

1607 W FILLMORE ST, Vandalia, IL 62471

Other Providers at the Same Location NPPES 3

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

Assisted Living Facility
1607 W FILLMORE ST
VANDALIA, IL 62471
Assisted Living Facility
1607 W FILLMORE ST
VANDALIA, IL 62471
Point of Service
1607 W FILLMORE ST
VANDALIA, IL 62471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vandalia Estates, LLC's NPI number?

The NPI number for Vandalia Estates, LLC is 1013113687. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is Vandalia Estates, LLC located?

Vandalia Estates, LLC is located at 1607 W Fillmore St, Vandalia, IL 62471. The listed phone number is (618) 283-9825.

What is Vandalia Estates, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Vandalia Estates, LLC was last updated on May 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.