527 Capital Group

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

47654 Issued in IL

Legal business name

527 CAPITAL GROUP

Doing business as

Roseville Country Manor

Practice address

145 S Chamberlain St
Roseville, IL 61473-9581

Phone

(309) 426-2134

Fax

(309) 426-2445

NPI assigned

Jun 9, 2006

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

Neil D. Ostlie

Title

Administrator

Phone

(309) 426-2134

Specialties & licenses 1

Addresses

Other names 1

• Roseville Country Manor Doing business as

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225079684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S CHAMBERLAIN ST",
            "city": "ROSEVILLE",
            "state": "IL",
            "postal_code": "614739581",
            "telephone_number": "309-426-2134",
            "fax_number": "309-426-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S CHAMBERLAIN ST",
            "city": "ROSEVILLE",
            "state": "IL",
            "postal_code": "614739581",
            "telephone_number": "309-426-2134",
            "fax_number": "309-426-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "527 CAPITAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTLIE",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-426-2134"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "47654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roseville Country Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Roseville, IL
• Providers in Roseville, 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.