PV
PRAIRIE VILLAGE HEALTHCARE CENTER INC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
JACKSONVILLE, IL
Licensed since
2007
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties1
Abuse flagNone on record
Federal identifiers
NPI registry number1356486732
CMS Certification Number (CCN)145294
Agency details
Avg residents / day50.7
OwnershipFor profit - Corporation
Chain affiliationATIED ASSOCIATES
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJENNIE SHANMARTIN
TitleMEDICARE BILLING
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