FRIENDSHIP HOUSE OF CENTRALIA – NPI #1962435941
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

FRIENDSHIP HOUSE OF CENTRALIA is a skilled nursing facility (SNF) located in CENTRALIA, IL. NPPES has assigned the NPI number 1962435941 to FRIENDSHIP HOUSE OF CENTRALIA on July 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRIENDSHIP HOUSE OF CENTRALIA” is a dba name, the actual legal business name for this organization is LTC ILLINOIS - FRIENDSHIP, INC.. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 18 years ago on Aug 04, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRIENDSHIP HOUSE OF CENTRALIA below.

NPI Profile for
LTC ILLINOIS - FRIENDSHIP, INC.

NPI Number
1962435941
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LTC ILLINOIS - FRIENDSHIP, INC.
Doing Business As (dba): FRIENDSHIP HOUSE OF CENTRALIA
Primary location
1000 MARTIN LUTHER KING
CENTRALIA, IL 62801
Phone: (618) 532-3642 Fax: (618) 533-3739
Mailing address
925 N POINT PKWY
SUITE 440
ALPHARETTA, GA 30005-5210
Phone: (770) 619-0866 Fax: (770) 870-2892
Organization Subpart
No
Authorized Official
LOUANN ANSTIS
PRIVACY OFFICER
Phone: (770) 619-0866
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
IL 0045682

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.