Organization · Type 2 NPI

Good Samaritan Nursing Home

Nursing Facility/Intermediate Care Facility · Knoxville, IL

NPI number 1639138134 Active

Practice location

407 N Hebard St
Knoxville, IL 61448-1174

Fax (309) 289-8847

Mailing address

407 N. Hebard Street
Knoxville, IL 61401

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X0001107 (IL)

Nursing Facility/Intermediate Care Facility: 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 conditi…

About NPI 1639138134

Good Samaritan Nursing Home's National Provider Identifier is 1639138134, issued on Mar 22, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Knoxville, IL. The record was last updated on Aug 22, 2020.