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General NPI Number Information
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NPI Number | 1346315165
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Entity Type | Organization
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Legal Business Name | WESTMINSTER VILLAGE INC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 2025 E. LINCOLN
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City | BLOOMINGTON
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State | IL
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Zip | 61701-5995
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Country | US
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Telephone | 309-663-6474
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Fax | 309-661-2749
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Provider Business Mailing Address
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Address Line | 2025 EAST LINCOLN
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City | BLOOMINGTON
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State | IL
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Zip | 61701-5995
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Country | US
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Telephone | 309-663-6474
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Fax | 309-661-2749
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. MATTHEW J RIEHLE
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Credential | RN, LNHA
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Telephone | 309-663-6474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 164606
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0028191
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License Number State | IL
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