VIP MANOR
NPI 1275628448
Skilled Nursing Facility in Wood River, IL

Active since October 04, 2006
393 E EDWARDSVILLE RD, WOOD RIVER, IL 62095(618) 259-4111 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2020, Aug 17, 2018 (2 updates tracked since 2018).

About Vip Manor NPPES

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

VIP MANOR (NPI 1275628448) is a healthcare organization registered as a skilled nursing facility in Wood River, Illinois and active in the NPI registry since October 2006. The organization lists David Merrell, Vice President, as its authorized official.

NPPES Registry Identity

NPI1275628448
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBEVERLY ENTERPRISES - ILLINOIS, INC.
Location Address393 E EDWARDSVILLE RDWood River, IL 62095-1646
Mailing Address393 E Edwardsville RdWood River, IL 62095-1646 · (618) 259-4111
Organization SubpartNo
Authorized OfficialDavid MerrellVice President · (479) 201-4840
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
NPI 1275628448 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.

393 E EDWARDSVILLE RD, Wood River, IL 62095

Other Names 1

Doing Business AsVip Manor

Other Identifiers 2

Other105320IL · Bcbs
Other47523IL · Group Hp

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
393 E EDWARDSVILLE RD
WOOD RIVER, IL 62095
Skilled Nursing Facility
393 E EDWARDSVILLE RD
WOOD RIVER, IL 62095
Registered Nurse (Infection Control)
393 E EDWARDSVILLE RD
WOOD RIVER, IL 62095
Skilled Nursing Facility
393 E EDWARDSVILLE RD
WOOD RIVER, IL 62095
Skilled Nursing Facility
393 E EDWARDSVILLE RD
WOOD RIVER, IL 62095

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 1275628448. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Vip Manor.

Where is Beverly Enterprises - Illinois, Inc. located?

Beverly Enterprises - Illinois, Inc. is located at 393 E Edwardsville Rd, Wood River, IL 62095. The listed phone number is (618) 259-4111.

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 with the weekly NPPES data releases published by CMS.