PARK HAVEN CARE CENTER
NPI 1265526818
Skilled Nursing Facility in Smithton, IL

Active since October 03, 2006
107 S. LINCOLN, SMITHTON, IL 62285(618) 235-4600 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Haven Care Center NPPES

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

PARK HAVEN CARE CENTER (NPI 1265526818) is a healthcare organization registered as a skilled nursing facility in Smithton, Illinois and active in the NPI registry since October 2006. The organization lists David Merrell, Vice President, as its authorized official.

NPPES Registry Identity

NPI1265526818
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBEVERLY ENTERPRISES - ILLINOIS, INC.
Location Address107 S. LINCOLNSmithton, IL 62285
Mailing Address107 S. LincolnSmithton, IL 62285 · (618) 235-4600
Organization SubpartNo
Authorized OfficialDavid MerrellVice President · (479) 201-4840
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1265526818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
107 S. LINCOLN, Smithton, IL 62285

Other Names 1

Doing Business AsPark Haven Care Center

Other Identifiers 1

Medicaid95-2301514017IL

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 Beverly Enterprises - Illinois, Inc.'s NPI number?

The NPI number for Beverly Enterprises - Illinois, Inc. is 1265526818. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Park Haven Care Center.

Where is Beverly Enterprises - Illinois, Inc. located?

Beverly Enterprises - Illinois, Inc. is located at 107 S. Lincoln, Smithton, IL 62285. The listed phone number is (618) 235-4600.

What is Beverly Enterprises - Illinois, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Beverly Enterprises - Illinois, 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 5 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.