Colonial Nursing and Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

46227 Issued in IL

Legal business name

COLONIAL NURSING AND REHABILITATION CENTER

Practice address

515 S Bureau Valley Pkwy
Princeton, IL 61356-2203

Phone

(815) 875-3347

Fax

(815) 875-2012

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 2020By 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

Mr. Mark Steinberg

Title

Chief Operating Officer

Phone

(847) 905-3000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184756173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S BUREAU VALLEY PKWY",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562203",
            "telephone_number": "815-875-3347",
            "fax_number": "815-875-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S BUREAU VALLEY PKWY",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562203",
            "telephone_number": "815-875-3347",
            "fax_number": "815-875-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL NURSING AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "847-905-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "46227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50242",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Kay Cervantes, LCSW
• Christ Community Church
• Stephen Christopherson, LCSW
• City of Princeton
• Colonial Healthcare and Rehabilitation Centre LLC (Colonial Healthcare and Rehabilitation Centre)
• Jennifer Comerford
• County of Bureau (Bureau County Health Department)
• D Diko LLC (Fawcett's Pharmacy)
• Christy Dale, LCSW, CADC
• Elie Chukri Daniel, D. P. M.

• Skilled Nursing Facility in Princeton, IL
• Providers in Princeton, 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 Aug 22, 2020; 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.