Beulah Land Christian Home
Organization Active NPI Skilled Nursing Facility · Flanagan, IL
NPI 1114943008 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1114943008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0006767 (IL)
- Legal business name
- BEULAH LAND CHRISTIAN HOME
- Practice address
- 201 E Falcon Hwy
Flanagan, IL 61740-9108 - Phone
- (815) 796-2267
- Fax
- (815) 796-4434
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard Walbert
- Title
- Vice President of Finance
- Phone
- (217) 732-5128
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Shawnee Christian Nursi
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0006767 | IL | Yes |
Addresses
Primary practice location
201 E Falcon Hwy
Flanagan, IL 61740-9108
Mailing address
201 E Falcon Hwy
Flanagan, IL 61740-9108
Phone (815) 796-2267
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371080266001 | Medicaid | IL |
Other providers in Flanagan, IL
- Axline'S Inc.
- Patricia Decker
- Taylor Marie Donalson
- Flanagan Hco LLC
- Flanagan Hco LLC
- Flanagan Rehabilitation & Health Care Center LLC
All providers in Flanagan, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.