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HOOSIER CARE NPI 1285747006


NPI Information

NPI: 1285747006
Provider Name: HOOSIER CARE

Doing Business As: EXCEPTIONAL CARE & TRAINING CENTER

Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

CLIA Number: 14D2198304

Address:
2601 WOODLAWN RD
STERLING, IL
ZIP 61081
Phone: (815) 626-5820
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HOOSIER CARE is a nursing care and pediatric skilled nursing facility in Sterling, IL. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. HOOSIER CARE NPI is 1285747006. The provider is registered as an organization entity type.
The provider Is Doing Business As Exceptional Care & Training Center.

The provider's business location address is:

2601 WOODLAWN RD
STERLING, IL
ZIP 61081-151
Phone: (815) 626-5820
Fax: (815) 626-5822

The provider's authorized official is Brenda Campbell .
The authorized official title is Ar Manager and has the following contact phone number (859) 255-0075.

The CLIA number assigned to this NPI record is 14D2198304 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 7/29/2016.


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
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric0035477ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10698860002MEDICARE NSCILLINOIS
2C43534MEDICARE UPINILLINOIS
3=========002MEDICAIDILLINOIS

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: 5/5/2024

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