Organization Active NPI

Community Retirement, Inc.

Doing business as The Arthur Home

  • Skilled Nursing Facility
  • Arthur, IL
National Provider Identifier
1194721969
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0005462 Issued in IL
Legal business name
COMMUNITY RETIREMENT, INC.
Doing business as
The Arthur Home
Practice address
423 S Eberhardt Dr
Arthur, IL 61911-1224
Phone
(217) 543-2103
Fax
(217) 543-2278
NPI assigned
Jun 24, 2005
Last updated
Dec 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Samantha Henson
Title
Billing MGR
Phone
(217) 543-4548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0005462 IL Primary

Addresses

Primary practice location

423 S Eberhardt Dr
Arthur, IL 61911-1224

Mailing address

423 S Eberhardt Dr
Arthur, IL 61911-1224
Phone (217) 543-2103

Other identifiers 1

IdentifierTypeStateIssuer
0005462OtherILLICENSE-IL PUBLIC HEALTH

Other names 1

  • The Arthur Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0669320Arthur Home,the423 S Eberhardt Dr, Arthur, IL 61911Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

423 S Eberhardt Dr
Arthur, IL 61911
Phone (217) 543-2103

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1194721969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 S EBERHARDT DR",
            "city": "ARTHUR",
            "state": "IL",
            "postal_code": "619111224",
            "telephone_number": "217-543-2103",
            "fax_number": "217-543-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 S EBERHARDT DR",
            "city": "ARTHUR",
            "state": "IL",
            "postal_code": "619111224",
            "telephone_number": "217-543-2103",
            "fax_number": "217-543-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RETIREMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "217-543-4548"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0005462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE-IL  PUBLIC HEALTH",
            "identifier": "0005462",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arthur Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Arthur Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arthur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.