Organization Active NPI

County of McLean

  • Skilled Nursing Facility
  • Normal, IL
National Provider Identifier
1174512016
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0018150 Issued in IL
Legal business name
COUNTY OF MCLEAN
Practice address
901 N Main St
Normal, IL 61761-1501
Phone
(309) 888-5380
Fax
(309) 454-4594
NPI assigned
Oct 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Mrs. Cynthia L Wegner
Title
Administrator
Phone
(309) 888-5380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0018150 IL Primary

Addresses

Primary practice location

901 N Main St
Normal, IL 61761-1501

Mailing address

901 N Main St
Normal, IL 61761-1501
Phone (309) 888-5380

Other identifiers 2

IdentifierTypeStateIssuer
0018150OtherILSTATE LICENSE NUMBER
37600156801MedicaidIL

Other names 1

  • McLean County Nursing Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100108000828 IL Part A Provider - Skilled Nursing Facility 7214078542 Practice locations: Normal, IL

Skilled nursing facility certification: CCN 145494

Legal name
COUNTY OF MCLEAN
Doing business as
MCLEAN COUNTY NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 21, 1984
Last certification
Aug 14, 2024
Beds
150 (148 certified)
Ownership / control type
County
Organization structure
GovernmentNon-profit
Enrollment address
901 N Main St
Normal, IL 61761-1501
Nursing home name
MCLEAN COUNTY NURSING HOME

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
McLean County Nursing HomeCCN 145494
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Jun 21, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14878.3 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
County of McLean5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kimberly Bolster Individual Operational/Managerial Control Jun 15, 2020
Adp of the SNF Jun 15, 2020
Elevate Therapy Consulting Group, LLC Organization, Charleston, IL Consulting firm Adp of the SNF Jan 1, 2022
Argent Trust Company Organization, Woodridge, IL Corporation Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Sarah Outlaw Individual Operational/Managerial Control Jun 22, 2022
Adp of the SNF Jun 22, 2022
Individual Adp of the SNF Jan 16, 2025
Julie Hochstatter Individual Operational/Managerial Control Apr 3, 1996
Adp of the SNF Apr 3, 1996
Steven Matter Individual Operational/Managerial Control Jun 18, 2021
Adp of the SNF Jun 18, 2021
Templin Healthcare Accounting Services Organization, Plainfield, IL Consulting firm Adp of the SNF Jan 16, 2025
Kandi Fitschen Individual Operational/Managerial Control Dec 6, 2021
Adp of the SNF Dec 6, 2021
Individual Adp of the SNF Jan 16, 2025
Rhonda Crowley Individual Operational/Managerial Control Jan 9, 2017
Adp of the SNF Jan 9, 2017
Steven C Ingalsbe Individual Operational/Managerial Control Apr 1, 2020
Adp of the SNF Apr 1, 2020
Individual Adp of the SNF Jan 1, 2025
Brook Fishel Individual Adp of the SNF Nov 1, 2021
Chelsey Bonnell Individual Operational/Managerial Control Feb 7, 2022
Adp of the SNF Feb 7, 2022
County of McLean Organization, Bloomington, IL 5% Or Greater Direct Ownership Interest Jan 1, 1974 100%
Operational/Managerial Control Jan 1, 1974
Adp of the SNF Jan 1, 1974
Brian Runge Individual Operational/Managerial Control Dec 16, 2003
Adp of the SNF Dec 16, 2003
Timothy Wiley Individual Operational/Managerial Control Nov 1, 2021
Adp of the SNF Nov 1, 2021
Sharon Bounds Individual Operational/Managerial Control Dec 28, 2015
Adp of the SNF Nov 1, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1174512016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N MAIN ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611501",
            "telephone_number": "309-888-5380",
            "fax_number": "309-454-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N MAIN ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611501",
            "telephone_number": "309-888-5380",
            "fax_number": "309-454-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MCLEAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "WEGNER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-888-5380",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0018150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "0018150",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37600156801",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLean County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.