RIVER CROSSING OF EAST PEORIA - NPI 1114460839 - Nursing Facility/Intermediate Care Facility in East Peoria, IL

Q: What is East Peoria Nh LLC's NPI number?

The NPI number for East Peoria Nh LLC is 1114460839. It was assigned to this organization in the NPPES registry on November 29, 2016. The provider is doing business as River Crossing Of East Peoria.

Q: What is East Peoria Nh LLC's specialty?

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

On this page

About River Crossing Of East Peoria NPPES

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

RIVER CROSSING OF EAST PEORIA (NPI 1114460839) is a healthcare organization registered as a nursing facility/intermediate care facility in East Peoria, Illinois and active in the NPI registry since November 2016. The organization lists James Mason, President, as its authorized official.

NPPES Registry Identity

NPI1114460839

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameEAST PEORIA NH LLC

Location Address900 CENTENNIAL DREast Peoria, IL 61611-4928

Mailing Address900 Centennial DrEast Peoria, IL 61611-4928 · (309) 699-5400 · Fax (309) 699-1632

Phone(309) 699-5400

Fax(309) 699-1632

Organization SubpartNo

Authorized OfficialJames MasonPresident · (813) 347-7425

Enumeration DateNovember 29, 2016

Last NPPES UpdateJune 25, 20212 updates tracked since enumeration

NPPES CertifiedJune 25, 2021

✔ NPI 1114460839 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

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.

900 CENTENNIAL DR, East Peoria, IL 61611

Open in Google Maps ↗

Other Names 1

Doing Business AsRiver Crossing Of East Peoria

Other Providers at the Same Location NPPES 8

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

BRAVO CARE OF EAST PEORIA INC

Skilled Nursing Facility