CLINTON MANOR LIVING CENTER
NPI 1174518278
Skilled Nursing Facility in New Baden, IL
About Clinton Manor Living Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINTON MANOR LIVING CENTER (NPI 1174518278) is a healthcare organization registered as a skilled nursing facility in New Baden, Illinois and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael A Brave, Vice President Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 5
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D0434424
Clinton Manor Living Center · New Baden, ILOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW BADEN, IL 62265
NEW BADEN, IL 62265
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 Southern Illinois Living Centers Inc.'s NPI number?
The NPI number for Southern Illinois Living Centers Inc. is 1174518278. It was assigned to this organization in the NPPES registry on September 14, 2005. The provider is doing business as Clinton Manor Living Center.
Where is Southern Illinois Living Centers Inc. located?
Southern Illinois Living Centers Inc. is located at 111 E Illinois St, New Baden, IL 62265. The listed phone number is (618) 588-4924.
What is Southern Illinois Living Centers Inc.'s specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Southern Illinois Living Centers Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0434424) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southern Illinois Living Centers Inc. was last updated on November 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.