Healthcare Provider Details

I. General information

NPI: 1447204375
Provider Name (Legal Business Name): GENESIS HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 HOSPITAL RD
SILVIS IL
61282-1834
US

IV. Provider business mailing address

1455 HOSPITAL RD
SILVIS IL
61282-1834
US

V. Phone/Fax

Practice location:
  • Phone: 309-281-3272
  • Fax: 309-281-3269
Mailing address:
  • Phone: 309-281-3272
  • Fax: 309-281-3269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. MICHAEL MOORE
Title or Position: CEO
Credential:
Phone: 309-281-3272