Knollwood Retirement Community
LBN: St Clair Supportive Living Lp
Knollwood Retirement Community is an health care organization with primary practice located at 921 Knollwood Village Rd , Caseyville IL 62232-1808. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Adult Care Home. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
St Clair Supportive Living Lp can be contacted via phone (618) 394-0569, or through Baker, Linda Renee via phone (618) 394-0569.
Contact Information
Primary practice address
921 Knollwood Village Rd
Caseyville IL 62232-1808
Phone: (618) 394-0569
Fax: (618) 394-0582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | Illinois | |
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | Illinois |
Profile Details
| NPI number | 1881015329 |
|---|---|
| LBN Legal business name | St Clair Supportive Living Lp |
| DBA Doing business as | Knollwood Retirement Community |
| Authorized official | Baker, Linda Renee PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 31st, 2013 |
| Last updated | Dec 31st, 2013 - about 12 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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