Good Samaritan Nursing Home

LBN: Good Samaritan Nursing Home
Good Samaritan Nursing Home is an health care organization with primary practice located at 407 N Hebard Street , Knoxville IL 61448. The organization recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as the primary health care specialty. Good Samaritan Nursing Home can be contacted via phone (309) 289-2614, or through Cook, Linda D via phone (309) 289-2614.

Contact Information

Primary practice address
407 N Hebard Street Knoxville IL 61448
Phone: (309) 289-2614
Fax: (309) 289-8847
Website:
Map and Directions
Authorized official contact:
Name: Cook, Linda D RN ADMINISTRATOR
Phone: (309) 289-2614

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X Illinois

Profile Details

NPI number 1568483329
LBN Legal business name Good Samaritan Nursing Home
DBA Doing business as
Authorized official Cook, Linda D RN ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568483329 NPPES
Illinois MEDICAID 0001107

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