Living Centers Inc

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

LIVING CENTERS INC

Doing business as

ICG Rehab

Practice address

185 W Imboden Dr
Decatur, IL 62521-5251

Phone

(217) 233-1425

Fax

(217) 233-1777

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Rhonda S Luther, MA

Title

Coo

Phone

(217) 422-7150

Specialties & licenses 1

Addresses

Other names 1

• ICG Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1104042993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W IMBODEN DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215238",
            "telephone_number": "217-422-7150",
            "fax_number": "217-422-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W IMBODEN DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215251",
            "telephone_number": "217-233-1425",
            "fax_number": "217-233-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "217-422-7150",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICG Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lincoln Manor Healthcare LLC
• Lincoln Manor, Inc.
• Lincoln Rehabilitation Center LLC
• David Liston, PHARM D.
• George Albert Liu, MD
• Living Centers Inc
• Larry Livingston, PHD
• Daniel J. Loban, DDS
• Susan Cassandra Lock, CNM, APN
• Jonathan T Locke, MD

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Decatur, IL
• Providers in Decatur, IL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.