OrganizationActive
Charleston Estates, LLC
NPI 1407052079 · Point of Service · Charleston, IL
Charleston Estates, LLC is a Point of Service organization in Charleston, IL (NPI 1407052079).
Provider details
- NPI number
- 1407052079
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- John Holtz, Controller(541) 747-3373
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 Lincoln Highway Rd
Charleston, IL 61920-3884
Phone: (217) 348-6500
Fax: (217) 345-4096
Street-level locationGet directions
Mailing address
78 Centennial Loop
Eugene, OR 97401-7900
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2008-05-14
Frequently asked questions
- What is Charleston Estates, LLC's NPI number?
- Charleston Estates, LLC's National Provider Identifier (NPI) is 1407052079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charleston Estates, LLC?
- Charleston Estates, LLC is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Charleston Estates, LLC located?
- Charleston Estates, LLC's practice location on file with NPPES is 300 Lincoln Highway Rd, Charleston, IL 61920-3884.
- What is Charleston Estates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Charleston Estates, LLC is (217) 348-6500.
- Who is the authorized official for Charleston Estates, LLC?
- The authorized official listed on Charleston Estates, LLC's NPPES record is John Holtz, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charleston Estates, LLC's NPI active?
- Yes — Charleston Estates, LLC's NPI (1407052079) is active in the NPPES registry as of the last update on 2008-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.