Active NPIOrganization

Beardstown Supportive Living LLC

Assisted Living Facility in Beardstown, Illinois

NPI Number1689355109
Practice location
8570 Saint Lukes Dr, Beardstown, IL 62618-9200
Fax
—
Last updated
July 27, 2023

Beardstown Supportive Living LLC is a healthcare organization based in Beardstown, IL. Beardstown Supportive Living LLC practices in Beardstown, IL. The NPI Number for Beardstown Supportive Living LLC is 1689355109. The current practice location address for Beardstown Supportive Living LLC is 8570 Saint Lukes Dr, Beardstown, IL 62618-9200 and can be reached out via phone at 217-323-1860.

Provider Profile Details

NPI Number
1689355109
Provider Name
Beardstown Supportive Living LLC
Provider Entity Type
Organization
Address
8570 Saint Lukes Dr, Beardstown, IL 62618-9200
Phone Number
217-323-1860
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
No
Authorized Official
Shai Berdugo · Authorized Official · 217-323-1860
Provider Enumeration Date
July 27, 2023
Last Update Date
July 27, 2023
Certification Date
July 27, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
8570 Saint Lukes Dr
Beardstown, IL 62618-9200
Zip
62618-9200
Phone Number
217-323-1860
Beardstown, IL 62618Get directions →

Provider Business Mailing Address Details

Address
575 Route 70
Brick, NJ 08723-4042
City
Brick
State
NJ
Zip
08723-4042

License Information

Taxonomy
Assisted Living Facility · 310400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Beardstown Supportive Living LLC?

The NPI number of Beardstown Supportive Living LLC is 1689355109. It was assigned on July 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Beardstown Supportive Living LLC?

Beardstown Supportive Living LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X).

Where does Beardstown Supportive Living LLC practice?

The practice location is 8570 Saint Lukes Dr, Beardstown, IL 62618-9200. The office can be reached at 217-323-1860 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689355109 directly on the NPPES registry website.

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