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CASEY CARE CENTER
NPI 1659363661
Nursing Facility/Intermediate Care Facility in Mount Vernon, IL

Active since August 16, 2005
5 DOCTORS PARK RD, MOUNT VERNON, IL 62864(618) 242-1064(618) 242-7559 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Casey Care Center NPPES

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

CASEY CARE CENTER (NPI 1659363661) 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

NPI1659363661
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCARAVILLA RESIDENTIAL CENTERS, INC
Location Address5 DOCTORS PARK RDMount Vernon, IL 62864-6224
Mailing Address5 Doctors Park RdMount Vernon, IL 62864-6224 · (618) 242-1064 · Fax (618) 242-7559
Phone(618) 242-1064
Fax(618) 242-7559
Organization SubpartNo
Authorized OfficialMichael F FlanaganCorporate Attorney · (816) 444-0900
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1659363661 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 · 0039800
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.
5 DOCTORS PARK RD, Mount Vernon, IL 62864
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Other Names 1

Doing Business AsCasey Care Center

Other Providers at the Same Location NPPES 4

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

AMANDA JO PORTER OTR/L
Occupational Therapist
5 DOCTORS PARK RD
MOUNT VERNON, IL 62864
Jefferson County (618) 242-1064
AXIOM GARDENS OF MOUNT VERNON LLC
Durable Medical Equipment & Medical Supplies
5 DOCTORS PARK RD
MOUNT VERNON, IL 62864
Jefferson County (618) 242-1064
AXIOM GARDENS OF MOUNT VERNON LLC
Skilled Nursing Facility
5 DOCTORS PARK RD
MOUNT VERNON, IL 62864
Jefferson County (618) 242-1064
PETERSEN MANAGEMENT COMPANY, LLC
Nursing Facility/Intermediate Care Facility
5 DOCTORS PARK RD
MOUNT VERNON, IL 62864
Jefferson County (618) 242-1064

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 1659363661. It was assigned to this organization in the NPPES registry on August 16, 2005. The provider is doing business as Casey Care Center.

Where is Caravilla Residential Centers, Inc located?

Caravilla Residential Centers, Inc is located at 5 Doctors Park Rd, Mount Vernon, IL 62864. The listed phone number is (618) 242-1064.

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.