Sharon Health Care Willows Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1719829 Issued in IL

Legal business name

SHARON HEALTH CARE WILLOWS INC

Practice address

3520 N Rochelle LN
Peoria, IL 61604-1037

Phone

(309) 688-0451

Fax

(309) 688-4350

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Richard Dean Duros

Title

Cfo Coo

Phone

(847) 441-8200

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Sharon Health Care Willows Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sharon Healthcare Willows Inc

  • Skilled Nursing Facility
  • Northfield, IL
  • NPI 1306397427
  NPD tax ID

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215965694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933045",
            "telephone_number": "847-441-8200",
            "fax_number": "847-441-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 N ROCHELLE LN",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041037",
            "telephone_number": "309-688-0451",
            "fax_number": "309-688-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON HEALTH CARE WILLOWS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUROS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CFO COO",
        "authorized_official_telephone_number": "847-441-8200"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "1719829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Lynn Shapley, PH.D. CCC-SLP
• Christopher O Sharkey, MS, ATC
• Amit Bhushan Sharma, AMIT SHARMA
• Sharon Health Care Elms, Inc.
• Sharon Health Care Pines Inc
• Sharon Health Care Woods Inc
• Jaylynn Rae Sharp
• Vanessa Shaw
• Kim Maria Shay
• Sanit S Shay, M.D.

• Nursing Facility/Intermediate Care Facility in Peoria, IL
• Providers in Peoria, IL by specialty
• Nursing Facility/Intermediate Care 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.
• 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.