Organization Active NPI

Tammerlane Health Care Centre Inc

  • Nursing Facility/Intermediate Care Facility
  • Sterling, IL
National Provider Identifier
1003995382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
35659 Issued in IL
Legal business name
TAMMERLANE HEALTH CARE CENTRE INC
Practice address
3601 16TH Avenue
Sterling, IL 61081
Phone
(815) 626-0233
Fax
(815) 626-0275
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert G Hedges
Title
President
Phone
(218) 528-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 35659 IL Primary

Addresses

Primary practice location

3601 16TH Avenue
Sterling, IL 61081

Mailing address

1625 S 6TH Street
Springfield, IL 62703-2828

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003995382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 S 6TH STREET",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 16TH AVENUE",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "61081",
            "telephone_number": "815-626-0233",
            "fax_number": "815-626-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMERLANE HEALTH CARE CENTRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEDGES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-528-0044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "35659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.