FOUNTAIN VIEW INC NPI 1023097151

NPI Information

  • NPI: 1023097151
  • Provider Name: FOUNTAIN VIEW INC
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Address: 1001A JEFFERSON ST
    ELDORADO, IL
    ZIP 62930
  • Phone: (618) 273-3353

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NPI Details

FOUNTAIN VIEW INC is a nursing facility intermediate care facility in Eldorado, IL. The provider is 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. FOUNTAIN VIEW INC NPI is 1023097151. The provider is registered as an organization entity type.

The provider's business location address is:

1001A JEFFERSON ST
ELDORADO, IL
ZIP 62930-373
Phone: (618) 273-3353
Fax: (618) 273-4800

The provider's authorized official is Denise Luckett .
The authorized official title is Administrator and has the following contact phone number (618) 273-3353.

The enumeration date for this NPI number is 1/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care Facility0020628ILLINOISYes
2314000000XSkilled Nursing Facility0020628ILLINOISX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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