Lawrenceville Manor

LBN: Village Health Care Management Llc
Lawrenceville Manor is an health care organization with primary practice located at 2101 James St , Lawrenceville IL 62439-2027. 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. Village Health Care Management Llc can be contacted via phone (619) 943-3444, or through Wesley, Ashli via phone (618) 943-3444.

Contact Information

Primary practice address
2101 James St Lawrenceville IL 62439-2027
Phone: (619) 943-3444
Fax: (618) 943-2853
Website:
Map and Directions
Authorized official contact:
Name: Wesley, Ashli
Phone: (618) 943-3444

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0046656 Illinois

Profile Details

NPI number 1003809922
LBN Legal business name Village Health Care Management Llc
DBA Doing business as Lawrenceville Manor
Authorized official Wesley, Ashli
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2005
Last updated Jun 24th, 2019 - about 5 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 1003809922 NPPES
Illinois MEDICAID 370673519002

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