Mercer County Nursing Home
Organization Active NPI Nursing Facility/Intermediate Care Facility · Aledo, IL
NPI 1174511380 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1174511380
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 0001396 (IL)
- Legal business name
- MERCER COUNTY NURSING HOME
- Practice address
- 309 NW 9TH Ave
Aledo, IL 61231-1330 - Phone
- (309) 582-5361
- Fax
- (309) 582-5518
- NPI assigned
- Oct 11, 2005
- Organization subpart
- No
Authorized official
- Name
- Miss Carla M. Ewing
- Title
- Administrator
- Phone
- (309) 582-5361
National Provider Directory
Locations
309 NW 9th Ave
Aledo, IL 61231
Phone (309) 435-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0001396 | IL | Yes |
Addresses
Primary practice location
309 NW 9TH Ave
Aledo, IL 61231-1330
Mailing address
309 NW 9TH Ave
Aledo, IL 61231-1330
Phone (309) 582-5361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14E595 | Medicaid | IL |
Other providers in Aledo, IL
- Jesse George Korns
- Allison Jean Linder
- McKnight Pharmacy
- Mercer County Family Young Men'S Christian Association of Aledo, Illin
- Mercer County Hospital Pharmacy
- Mercer County School Dist 404
- Mercer Cty Hospital
- Mercer Health Center, S.C.
- Mercer Manor Rehabilitation LLC
- MW Aledo Operating, LLC
All providers in Aledo, IL · Nursing Facility/Intermediate Care 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.