Jeffersonian Health Care

LBN: Caravilla Residential Centers, Inc
Jeffersonian Health Care is an health care organization with primary practice located at 1700 White St , Mount Vernon IL 62864-4349. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Caravilla Residential Centers, Inc can be contacted via phone (618) 242-4075, or through Flanagan, Michael F via phone (816) 444-0900.

Contact Information

Primary practice address
1700 White St Mount Vernon IL 62864-4349
Phone: (618) 242-4075
Fax: (618) 242-4092
Website:
Map and Directions
Authorized official contact:
Name: Flanagan, Michael F
Phone: (816) 444-0900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0039818 Illinois

Profile Details

NPI number 1932109485
LBN Legal business name Caravilla Residential Centers, Inc
DBA Doing business as Jeffersonian Health Care
Authorized official Flanagan, Michael F
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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