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Beverly Enterprises - Illinois, Inc.

Skilled Nursing Facility in Wood River, IL · enumerated 2006 · authorized official David Merrell, Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275628448

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Registry record

Entity type Organization (Type 2)
Legal business name Beverly Enterprises - Illinois, Inc.
Other name <Unavail>
Practice address 393 E Edwardsville Rd, Wood River, IL, 62095
Phone (618) 259-4111
Enumeration date Oct 4, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name David Merrell
Title Vice President
Phone (479) 201-4840

Other identifiers

Identifier Type State Issuer
105320 Other IL BCBS
47523 Other IL GROUP HP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Beverly Enterprises - Illinois, Inc.?
Beverly Enterprises - Illinois, Inc. is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.