Edwardsville Nursing And Rehabilitation Center
LBN: St. Marys Health Care Center Investors Llc
Edwardsville Nursing And Rehabilitation Center is an health care organization with primary practice located at 401 Saint Marys Dr , Edwardsville IL 62025-4276. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
St. Marys Health Care Center Investors Llc can be contacted via phone (618) 692-1330, or through Knootz, Brian via phone (618) 692-1330.
Contact Information
Primary practice address
401 Saint Marys Dr
Edwardsville IL 62025-4276
Phone: (618) 692-1330
Fax: (618) 692-9478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Custodial Care Facility | 311Z00000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1558343301 |
|---|---|
| LBN Legal business name | St. Marys Health Care Center Investors Llc |
| DBA Doing business as | Edwardsville Nursing And Rehabilitation Center |
| Authorized official | Knootz, Brian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Oct 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558343301 | NPPES |
| Illinois | Other | 1558343301 | NPI |
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