Healthcare Provider Details

I. General information

NPI: 1689228819
Provider Name (Legal Business Name): TAYLORVILLE SKILLED NURSING & REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 10/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MCADAM DR
TAYLORVILLE IL
62568-9634
US

IV. Provider business mailing address

14 OLIVER ST
LAKEWOOD NJ
08701-2339
US

V. Phone/Fax

Practice location:
  • Phone: 217-824-2277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MEIR SINGER
Title or Position: PRESIDENT
Credential:
Phone: 217-965-4715