Organization · Type 2 NPI

St. Joseph's Home of Springfield

Nursing Facility/Intermediate Care Facility · Springfield, IL

NPI number 1740463074 Active

Practice location

3306 S 6th Street Rd
Springfield, IL 62703-4735

Fax (217) 585-0104

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X0013839 (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…

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About NPI 1740463074

St. Joseph's Home of Springfield's National Provider Identifier is 1740463074, issued on Dec 10, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Springfield, IL. The record was last updated on Dec 10, 2007.