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NPI Code Detail

MEDICARE: EASTVIEW TERRACE

MEDICARE: EASTVIEW TERRACE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility0046060IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811984644
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTVIEW TERRACE
Provider Business Mailing Address
First Line : 100 EASTVIEW PL
Second Line :
City : SULLIVAN
State : IL
Zip : 61951-1674
Country : US
Telephone Number : 217-728-7367
Fax Number : 217-728-2112
Provider Business Practice Location Address
First Line : 100 EASTVIEW PL
Second Line :
City : SULLIVAN
State : IL
Zip : 61951-1674
Country : US
Telephone Number : 217-728-7367
Fax Number : 217-728-2112
Authorized Official
Title or Position : CAREPLAN COORDINATOR
Name : JANET REEDY
Credential : LPN
Telephone Number : 217-728-7367
Provider Enumeration Date : 10/06/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1700843448 — EASTVIEW HCO, LLC
Practice Location Address:
100 EASTVIEW PL
SULLIVAN, IL
61951-1674
Practice Phone: 217-728-7367
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1609027846 — PETERSEN HEALTH CARE, INC
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1063045227 — EASTVIEW HCO, LLC
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Practice Fax:
1871116921 — LINDSEY LEFEVER PTA
Practice Location Address:
100 EASTVIEW PL
SULLIVAN, IL
61951-1674
Practice Phone: 217-821-0336
Practice Fax:
1457023830 — CATHERINE LUCILLE REEL
Practice Location Address:
100 EASTVIEW PL
SULLIVAN, IL
61951-1674
Practice Phone: 217-728-7367
Practice Fax:
1013730589 — EASTVIEW HEALTHCARE & SENIOR LIVING LLC
Practice Location Address:
100 EASTVIEW PL
SULLIVAN, IL
61951-1674
Practice Phone: 217-728-7367
Practice Fax:

Directions to “EASTVIEW TERRACE ” Practice Location

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