New Athens Home For The Aged Inc

LBN: New Athens Home For The Aged Inc
New Athens Home For The Aged Inc is an health care organization with primary practice located at 203 S Johnson St , New Athens IL 62264-1319. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. New Athens Home For The Aged Inc can be contacted via phone (618) 475-2550, or through Holtgrewe, Gary Wynn via phone (618) 475-2550.

Contact Information

Primary practice address
203 S Johnson St New Athens IL 62264-1319
Phone: (618) 475-2550
Fax: (618) 475-2567
Website:
Map and Directions
Authorized official contact:
Name: Holtgrewe, Gary Wynn
Phone: (618) 475-2550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0033043 Illinois

Profile Details

NPI number 1013986439
LBN Legal business name New Athens Home For The Aged Inc
DBA Doing business as
Authorized official Holtgrewe, Gary Wynn
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Aug 6th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013986439 NPPES
Illinois Other 14E299 PUBLIC HEALTH ID #
Illinois MEDICAID 14-0061 PUBLIC HEALTH ID #

Popular Providers