Calvin Johnson Care Center
LBN: Eldercare Inc
Calvin Johnson Care Center is an health care organization with primary practice located at 727 N 17Th St , Belleville IL 62226-6552. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Laboratories / Clinical Medical Laboratory. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Eldercare Inc can be contacted via phone (618) 234-3323, or through Wolf, Steven C via phone (618) 234-2273.
Contact Information
Primary practice address
727 N 17Th St
Belleville IL 62226-6552
Phone: (618) 234-3323
Fax: (618) 234-9477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 0023309 | Illinois |
| Laboratories / Clinical Medical Laboratory | 291U00000X | Illinois |
Profile Details
| NPI number | 1982686093 |
|---|---|
| LBN Legal business name | Eldercare Inc |
| DBA Doing business as | Calvin Johnson Care Center |
| Authorized official | Wolf, Steven C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Apr 20th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982686093 | NPPES |
| Other | V255P6570911 | VA VETERANS ADMIN |
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