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CHARLESTON ESTATES, LLC
NPI 1407052079
Point of Service in Charleston, IL

Active since June 21, 2007
300 LINCOLN HIGHWAY RD, CHARLESTON, IL 61920(217) 348-6500(217) 345-4096 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charleston Estates, Llc NPPES

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

CHARLESTON ESTATES, LLC (NPI 1407052079) is a healthcare organization registered as a point of service in Charleston, Illinois and active in the NPI registry since June 2007. The organization lists John Holtz, Controller, as its authorized official.

NPPES Registry Identity

NPI1407052079
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameCHARLESTON ESTATES, LLC
Location Address300 LINCOLN HIGHWAY RDCharleston, IL 61920-3884
Mailing Address78 Centennial LoopEugene, OR 97401-7900 · (541) 747-3373 · Fax (541) 747-0673
Phone(217) 348-6500
Fax(217) 345-4096
Organization SubpartNo
Authorized OfficialJohn HoltzController · (541) 747-3373
Enumeration DateJune 21, 2007
Last NPPES UpdateMay 14, 2008
✔ NPI 1407052079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
300 LINCOLN HIGHWAY RD, Charleston, IL 61920
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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 Charleston Estates, LLC's NPI number?

The NPI number for Charleston Estates, LLC is 1407052079. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is Charleston Estates, LLC located?

Charleston Estates, LLC is located at 300 Lincoln Highway Rd, Charleston, IL 61920. The listed phone number is (217) 348-6500.

What is Charleston Estates, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Charleston Estates, LLC was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.