CANTERBURY MANOR NURSING CENTER NPI 1154454544

NPI Information

  • NPI: 1154454544
  • Provider Name: CANTERBURY MANOR NURSING CENTER
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 718 N MARKET ST
    WATERLOO, IL
    ZIP 62298
  • Phone: (618) 939-8565

Map and Directions

Get Directions

NPI Details

CANTERBURY MANOR NURSING CENTER is a durable medical equipment medical supplies in Waterloo, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CANTERBURY MANOR NURSING CENTER NPI is 1154454544. The provider is registered as an organization entity type.

The provider's business location address is:

718 N MARKET ST
WATERLOO, IL
ZIP 62298-014
Phone: (618) 939-8565
Fax: (618) 939-3650

The provider's authorized official is Diana Kington .
The authorized official title is President and has the following contact phone number (618) 549-8331.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI