GOOD SAMARITAN NURSING HOME NPI 1568483329

NPI Information

  • NPI: 1568483329
  • Provider Name: GOOD SAMARITAN NURSING HOME
  • Classification: Nursing Home Administrator - 376G00000X
  • Entity Type: Organization
  • Address: 407 N HEBARD STREET
    KNOXVILLE, IL
    ZIP 61448
  • Phone: (309) 289-2614

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NPI Details

GOOD SAMARITAN NURSING HOME is a nursing home administrator in Knoxville, IL. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. GOOD SAMARITAN NURSING HOME NPI is 1568483329. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

407 N HEBARD STREET
KNOXVILLE, IL
ZIP 61448
Phone: (309) 289-2614
Fax: (309) 289-8847

The provider's authorized official is Linda D Cook .
The authorized official title is Administrator and has the following contact phone number (309) 289-2614.

The enumeration date for this NPI number is 7/21/2006 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
1376G00000XNursing Home AdministratorILLINOISYes

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
10001107MEDICAIDILLINOIS

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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