Fountain View INC
Nursing Facility/Intermediate Care Facility in Eldorado, IL. Organization (NPI-2).
NPI number1023097151
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1023097151
- Entity type
- Organization (NPI-2)
- Legal business name
- Fountain View INC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0020628 | IL | Yes |
| 314000000X | Skilled Nursing Facility | 0020628 | IL |
Practice location
1001a Jefferson StEldorado, IL 62930-1373
Phone 618-273-3353 · Fax 618-273-4800
Mailing address
1001a Jefferson StEldorado, IL 62930-1373
Phone 618-273-3353 · Fax 618-273-4800
Authorized official
Denise Luckett
Administrator
6182733353
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