Covenant Care of Jacksonville LLC
Covenant Care of Jacksonville LLC is a Nursing Facility/Intermediate Care Facility in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1500 W Walnut StJacksonville, IL 62650-1134
Phone: (217) 245-4183
Fax: (217) 243-2915
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 1764855 (IL) |
|---|---|
| Skilled Nursing Facility | Taxonomy 314000000X · Licence 0047852 (IL) |
Record details
| NPI number | 1396811550 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Potts — Manager · (423) 870-3153 |
| Other names | Modern Care Convalescent And Nursing Home |
| NPI enumerated | November 28, 2006 |
| Last updated in NPPES | July 19, 2007 |
| Mailing address | 1200 Mountain Creek Road, Suite 350, Chattanooga, TN 37405-6103 |
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Care Center of Jacksonville, LLC
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