Taxonomy Code 313M00000X(313m00000x)
Nursing Facility/Intermediate Care Facility. Providers: 4

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Nursing Facility/Intermediate Care Facility Providers

NPI Name Type Address

1780767897

Petersen Management Company, Llc

Organization

5 Doctors Park Rd

Mount Vernon, IL

1659363661

Caravilla Residential Centers, Inc

Organization

5 Doctors Park Rd

Mount Vernon, IL

1184616195

Caravilla Residential Centers, Inc

Organization

1717 Jefferson Ave

Mount Vernon, IL

1659471993

Petersen Health Care Ll, Inc.

Organization

1717 Jefferson Ave

Mount Vernon, IL

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 313M00000X
Display Name Nursing Facility/Intermediate Care Facility
Taxonomy Group Nursing & Custodial Care Facilities
Taxonomy Classification Nursing Facility/Intermediate Care Facility
Definition An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Effective Date September 30, 2009
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Other Taxonomy Codes

Pediatric Anesthesiology Physician

207LP3000X • providers: 1,584

Deactivated - Clinical Neuropsychologist

103GC0700X • providers: 0

Hematology & Oncology Physician

207RH0003X • providers: 15,727

Clinical Laboratory Director (Non-physician)

247ZC0005X • providers: 445

Neuroscience Registered Nurse

163WN0800X • providers: 146

Customized Equipment (DME)

332BC3200X • providers: 4,326

Health & Wellness Coach

171400000X • providers: 1,409

Critical Access Hospital

282NC0060X • providers: 3,170

Developmental Therapist

222Q00000X • providers: 14,512

Pediatric Pulmonology Physician

2080P0214X • providers: 1,472

Child Abuse Pediatrics Physician

2080C0008X • providers: 159

Assistant Behavior Analyst

106E00000X • providers: 4,596

Case Manager/Care Coordinator

171M00000X • providers: 118,100

Neuroradiology Physician

2085N0700X • providers: 1,472

Diagnostic Neuroimaging (Radiology) Physician

2085D0003X • providers: 164

Deactivated - Psychologist Psychotherapy

103TP2700X • providers: 0

Alzheimer Center (Dementia Center)

311500000X • providers: 491

Obstetrics Physician

207VX0000X • providers: 1,936

Body Imaging Physician

2085B0100X • providers: 1,235

Phlebology Physician

202K00000X • providers: 354