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Wood River Nh LLC

NPI 1114461175ActiveOrganization· Assisted Living Facility· Wood River, IL

Assisted Living Facility in Wood River, Illinois, registered in NPPES in December 2016. The authorized official on file is James Mason, President.

Overview

NPI1114461175
StatusActive
Entity typeOrganization
NPI issuedDec 10, 2016
Last updated in NPPESJun 25, 2021
Certified by providerJun 25, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Assisted Living Facility providers in Wood River

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