Prairie Winds of Urbana

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

31040000X Issued in IL

Legal business name

PRAIRIE WINDS OF URBANA

Practice address

1905 E Prairie Winds Ave
Urbana, IL 61802-4723

Phone

(217) 344-6400

Fax

(217) 344-6444

NPI assigned

Aug 31, 2007

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim J Boisseau

Title

Administrator

Phone

(217) 344-6400

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1043404106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E PRAIRIE WINDS AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618024723",
            "telephone_number": "217-344-6400",
            "fax_number": "217-344-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E PRAIRIE WINDS AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618024723",
            "telephone_number": "217-344-6400",
            "fax_number": "217-344-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE WINDS OF URBANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BOISSEAU",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-344-6400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "31040000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracye Pons, LSW
• Marc Porter
• Sara Michelle Powers, PT, DPT
• Michael Aaron Pozin
• Prairie Center Health Systems, Inc
• Marilyn Prasun, C.N.S.
• Courtney Leigh Prather
• Precious Nurses Healthcare Agency, Inc
• Vicki Prell, MD
• Preethi Prem

• Assisted Living Facility in Urbana, IL
• Providers in Urbana, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.