Central Illinois SNF Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTRAL ILLINOIS SNF CARE PLLC

Practice address

1517 W Walnut St
Jacksonville, IL 62650-1133

Phone

(630) 336-5620

NPI assigned

May 18, 2023

Last updated

Oct 3, 2023By 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

Bhavin Vallabhbhai SonaniNPI 1639495971

Title

President / Owner

Phone

(630) 336-5620

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bhavin Vallabhbhai Sonani, M.D.

  • Hospitalist Physician
  • Springfield, IL
  • NPI 1639495971

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Erica J Carr, ANP

  • Family Nurse Practitioner
  • Jacksonville, IL
  • NPI 1164031803
  Medicare reassignment Care Compare group NPD
• Rachel Victoria McCray

  • Nurse Practitioner
  • Lincoln, IL
  • NPI 1336912385
  Medicare reassignment Care Compare group NPD
• Samantha M Olmstead, APN

  • Family Nurse Practitioner
  • Springfield, IL
  • NPI 1538683032
  Medicare reassignment Care Compare group NPD
• Alecia N. Steele, APRN

  • Family Nurse Practitioner
  • Springfield, IL
  • NPI 1750870051
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1063103190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 W WALNUT ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501133",
            "telephone_number": "630-336-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 W WALNUT ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501133",
            "telephone_number": "630-336-5620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 S Martin Luther King Jr Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627031317",
            "country_code": "US",
            "telephone_number": "630-336-5620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS SNF CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "SONANI",
        "authorized_official_first_name": "BHAVIN",
        "authorized_official_middle_name": "VALLABHBHAI",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "630-336-5620"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "F100967946",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cass County Mental Health
• Cass County Mental Health Assoc
• Courtney L. Cave, DPT
• Center for Psychiatric Health
• Central Counties Health Centers, Inc.
• Chandupatla Probhakar MD
• Richard E Charpentier II, D.C.
• Chiropractic Healthcare PC
• Christina J. Levi O D P C (IEC -Jacksonville)
• Mickie Clark, COTA

• Internal Medicine Physician in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.