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NEW ATHENS HOME FOR THE AGED INC
NPI 1013986439
Nursing Facility/Intermediate Care Facility in New Athens, IL

Active since March 16, 2006
203 S JOHNSON ST, NEW ATHENS, IL 62264(618) 475-2550(618) 475-2567 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About New Athens Home For The Aged Inc NPPES

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

NEW ATHENS HOME FOR THE AGED INC (NPI 1013986439) is a healthcare organization registered as a nursing facility/intermediate care facility in New Athens, Illinois and active in the NPI registry since March 2006. The organization lists Gary Wynn Holtgrewe, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013986439
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameNEW ATHENS HOME FOR THE AGED INC
Location Address203 S JOHNSON STNew Athens, IL 62264-1319
Mailing Address203 S Johnson StNew Athens, IL 62264-1319 · (618) 475-2550 · Fax (618) 475-2567
Phone(618) 475-2550
Fax(618) 475-2567
Organization SubpartNo
Authorized OfficialGary Wynn HoltgreweAdministrator · (618) 475-2550
Enumeration DateMarch 16, 2006
Last NPPES UpdateAugust 6, 2013
✔ NPI 1013986439 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 · 0033043
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.
203 S JOHNSON ST, New Athens, IL 62264
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Other Identifiers 3

Medicare ID-Type Unspecified972110IL · Part B Provider #
Other14E299IL · Public Health Id #
Medicaid14-0061IL

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 New Athens Home For The Aged Inc's NPI number?

The NPI number for New Athens Home For The Aged Inc is 1013986439. It was assigned to this organization in the NPPES registry on March 16, 2006.

Where is New Athens Home For The Aged Inc located?

New Athens Home For The Aged Inc is located at 203 S Johnson St, New Athens, IL 62264. The listed phone number is (618) 475-2550.

What is New Athens Home For The Aged Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for New Athens Home For The Aged Inc was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.