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MT VERNON CARE CENTER
NPI 1184616195
Nursing Facility/Intermediate Care Facility in Mount Vernon, IL

Active since August 16, 2005
1717 JEFFERSON AVE, MOUNT VERNON, IL 62864(618) 244-2861(618) 244-2393 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mt Vernon Care Center NPPES

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

MT VERNON CARE CENTER (NPI 1184616195) is a healthcare organization registered as a nursing facility/intermediate care facility in Mount Vernon, Illinois and active in the NPI registry since August 2005. The organization lists Michael F Flanagan, Corporate Attorney, as its authorized official.

NPPES Registry Identity

NPI1184616195
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCARAVILLA RESIDENTIAL CENTERS, INC
Location Address1717 JEFFERSON AVEMount Vernon, IL 62864-4330
Mailing Address1717 Jefferson AveMount Vernon, IL 62864-4330 · (618) 244-2861 · Fax (618) 244-2393
Phone(618) 244-2861
Fax(618) 244-2393
Organization SubpartNo
Authorized OfficialMichael F FlanaganCorporate Attorney · (816) 444-0900
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184616195 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 · 0039826
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.
1717 JEFFERSON AVE, Mount Vernon, IL 62864
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Other Names 1

Doing Business AsMt Vernon Care Center

Other Providers at the Same Location NPPES

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

PETERSEN HEALTH CARE LL, INC.
Nursing Facility/Intermediate Care Facility
1717 JEFFERSON AVE
MOUNT VERNON, IL 62864
Jefferson County (999) 999-9999

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 Caravilla Residential Centers, Inc's NPI number?

The NPI number for Caravilla Residential Centers, Inc is 1184616195. It was assigned to this organization in the NPPES registry on August 16, 2005. The provider is doing business as Mt Vernon Care Center.

Where is Caravilla Residential Centers, Inc located?

Caravilla Residential Centers, Inc is located at 1717 Jefferson Ave, Mount Vernon, IL 62864. The listed phone number is (618) 244-2861.

What is Caravilla Residential Centers, 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 Caravilla Residential Centers, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.