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MONICA PLYMALE NPI 1760830673


NPI Information

NPI: 1760830673
Provider Name: MONICA PLYMALE
Classification: Nursing Home Administrator - 376G00000X
Entity Type: Individual
Address:
4401 N MAIN ST
ROCKFORD, IL
ZIP 61103
Phone: (815) 921-9200
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Monica Plymale is a nursing home administrator in Rockford, IL. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. Monica Plymale NPI is 1760830673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4401 N MAIN ST
ROCKFORD, IL
ZIP 61103-277
Phone: (815) 921-9200
Fax: (815) 877-8304

The enumeration date for this NPI number is 6/1/2016 and was last updated on 6/1/2016.


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
1376G00000XNursing Home Administrator044010510ILLINOISYes

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
1366006681MEDICAIDILLINOIS

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

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.