WASHINGTON VILLAGE ESTATES LP NPI 1265616536

NPI Information

  • NPI: 1265616536
  • Provider Name: WASHINGTON VILLAGE ESTATES, LP
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SUPPORTIVE LIVING OF WASHINGTON
  • CLIA Number: 14D2199445
  • Address: 1150 NEWCASTLE RD
    WASHINGTON, IL
    ZIP 61571
  • Phone: (309) 444-3641

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NPI Details

WASHINGTON VILLAGE ESTATES, LP is an assisted living facility in Washington, IL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WASHINGTON VILLAGE ESTATES, LP NPI is 1265616536. The provider is registered as an organization entity type.
The provider Is Doing Business As Supportive Living Of Washington.

The provider's business location address is:

1150 NEWCASTLE RD
WASHINGTON, IL
ZIP 61571-244
Phone: (309) 444-3641
Fax: (309) 444-8763

The provider's authorized official is Susan Mcghee .
The authorized official title is Controller and has the following contact phone number (217) 732-5175.

The CLIA number assigned to this NPI record is 14D2199445 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 4/20/2008.

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
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========001MEDICAIDILLINOIS

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: 11/21/2025

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