Charleston Estates, LLC
Charleston Estates, LLC is a healthcare organization registered as Point of Service in Charleston, IL, holding Type 2 (organization) NPI 1407052079 since 2007. The authorized official on file is John Holtz, Controller.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407052079 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Charleston Estates, LLC |
| Practice address | 300 LINCOLN HIGHWAY RD, Charleston, IL, 61920 |
| Phone | 2173486500 |
| Fax | 2173454096 |
| Enumeration date | 2007-06-21 |
| Last updated in NPPES | 2008-05-14 |
Authorized official
| Name | John Holtz |
|---|---|
| Title | Controller |
| Phone | 5417473373 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305S00000X | Point of Service | Primary | — | — |
Copy-ready billing details
Provider: Charleston Estates, LLC NPI: 1407052079 Taxonomy: 305S00000X (Point of Service) Address: 300 LINCOLN HIGHWAY RD, Charleston, IL, 61920
Verify this record
Cross-check NPI 1407052079 against the authoritative CMS record: view Charleston Estates, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Charleston Estates, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-05-14.