Bonan Brothers Properties Project #3 LLC
NPI 1134393754ActiveOrganization· Assisted Living Facility· Centralia, IL
Assisted Living Facility in Centralia, Illinois, registered in NPPES in April 2008. The authorized official on file is Kim Ioerger, Rn/Senior Administrator.
Overview
| NPI | 1134393754 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2008 |
| Last updated in NPPES | Jun 16, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Assisted Living Facility providers in Centralia
- 1487852083
- 1285885509