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GREENWOOD MANOR NURSING HOME INC
NPI 1336138411
Nursing Facility/Intermediate Care Facility in Jerseyville, IL

Active since October 20, 2005
410 FLETCHER ST, JERSEYVILLE, IL 62052(618) 498-6427(618) 639-3339 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Greenwood Manor Nursing Home Inc NPPES

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

GREENWOOD MANOR NURSING HOME INC (NPI 1336138411) is a healthcare organization registered as a nursing facility/intermediate care facility in Jerseyville, Illinois and active in the NPI registry since October 2005. The organization lists Lawrence B Plummer, Owner, as its authorized official.

NPPES Registry Identity

NPI1336138411
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameGREENWOOD MANOR NURSING HOME INC
Location Address410 FLETCHER STJerseyville, IL 62052-2127
Mailing Address410 Fletcher StJerseyville, IL 62052-2127 · (618) 498-6427 · Fax (618) 639-3339
Phone(618) 498-6427
Fax(618) 639-3339
Organization SubpartNo
Authorized OfficialLawrence B PlummerOwner · (618) 498-6427
Enumeration DateOctober 20, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336138411 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 · 0020206
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.
410 FLETCHER ST, Jerseyville, IL 62052
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Other Identifiers 1

OtherI4A111IL · Il Dept Of Public Health

Other Providers at the Same Location NPPES 3

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

KEVIN A. LOVEL M.S., CCC-SLP/L
Speech-Language Pathologist
410 FLETCHER ST
JERSEYVILLE, IL 62052
Jersey County (618) 498-6427
PETERSEN HEALTH NETWORK, LLC
Skilled Nursing Facility
410 FLETCHER ST
JERSEYVILLE, IL 62052
Jersey County (618) 498-6427
EVERCARE OF JERSEYVILLE LLC
Skilled Nursing Facility
410 FLETCHER ST
JERSEYVILLE, IL 62052
Jersey County (618) 498-6427

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 Greenwood Manor Nursing Home Inc's NPI number?

The NPI number for Greenwood Manor Nursing Home Inc is 1336138411. It was assigned to this organization in the NPPES registry on October 20, 2005.

Where is Greenwood Manor Nursing Home Inc located?

Greenwood Manor Nursing Home Inc is located at 410 Fletcher St, Jerseyville, IL 62052. The listed phone number is (618) 498-6427.

What is Greenwood Manor Nursing Home 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 Greenwood Manor Nursing Home 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.