Stockton Healthcare and Rehab Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

000051268 Issued in IL

Legal business name

STOCKTON HEALTHCARE AND REHAB CENTER INC

Practice address

501 E Front Ave
Stockton, IL 61085-1444

Phone

(815) 947-2215

Fax

(815) 947-2561

NPI assigned

May 31, 2011

Last updated

May 31, 2011By 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

Joseph Brandman

Title

President

Phone

(773) 338-4400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1104110816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E FRONT AVE",
            "city": "STOCKTON",
            "state": "IL",
            "postal_code": "610851444",
            "telephone_number": "815-947-2215",
            "fax_number": "815-947-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E FRONT AVE",
            "city": "STOCKTON",
            "state": "IL",
            "postal_code": "610851444",
            "telephone_number": "815-947-2215",
            "fax_number": "815-947-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON HEALTHCARE AND REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "BRANDMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-338-4400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "000051268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christian G Triand, DMD
• Deedee M Wampfler, D.C.
• Michael A Wampfler, D.C.
• Waverly Place of Stockton, LLC

• Skilled Nursing Facility in Stockton, IL
• Providers in Stockton, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.