Duquoin Nursing & Rehabilitation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0052928 Issued in IL

Legal business name

DUQUOIN NURSING & REHABILITATION

Practice address

514 E Jackson St
Du Quoin, IL 62832-2427

Phone

(618) 542-4732

Fax

(618) 542-2651

NPI assigned

Aug 20, 2014

Last updated

Mar 14, 2016By 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. Scott E. Stout, LNHA

Title

Executive Director

Phone

(618) 713-5284

Specialties & licenses 1

Addresses

Tax ID family

Duquoin Nursing Rehab Ctr2 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.

• Duquoin Nursing & Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Du Quoin, IL
  • NPI 1982143772
  NPD tax ID

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1255730768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E JACKSON ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322427",
            "telephone_number": "618-542-4732",
            "fax_number": "618-542-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E JACKSON ST",
            "city": "DU QUOIN",
            "state": "IL",
            "postal_code": "628322427",
            "telephone_number": "618-542-4732",
            "fax_number": "618-542-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUQUOIN NURSING & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-713-5284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0052928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Du Quoin Skilled LLC
• Michelle Marie Dudek, PTA
• Duquoin Chiropractic Center (Duquoin Health Center)
• Duquoin Comm Unit Dist 300
• Duquoin Dental Associates, LTD.
• Duquoin Nursing & Rehabilitation Center, LLC
• Carol Easton, RN
• Robert Dick Eaton, D.C.
• Susan Eileen Engelhardt
• Fair Acres Nursing Home Inc

• Skilled Nursing Facility in Du Quoin, IL
• Providers in Du Quoin, 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 Mar 14, 2016; 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.