Mid Americacare Foundation
Organization Active NPI Skilled Nursing Facility · Polo, IL
NPI 1295732360 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295732360
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 0028852 (IL)
- Legal business name
- MID AMERICACARE FOUNDATION
- Practice address
- 703 E Buffalo St
Polo, IL 61064-1701 - Phone
- (815) 946-2203
- Fax
- (815) 946-2859
- NPI assigned
- Jul 5, 2005
- Organization subpart
- No
Authorized official
- Name
- Joseph C Tutera
- Title
- President, Ceo
- Phone
- (816) 444-0900
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Carlinville Rehab Health Care Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0028852 | IL | Yes |
Addresses
Primary practice location
703 E Buffalo St
Polo, IL 61064-1701
Mailing address
703 E Buffalo St
Polo, IL 61064-1701
Phone (815) 946-2203
Other names
- POLO REHABILITATION AND HEALTH CARE CENTER
Other providers in Polo, IL
- Angelia Faller
- Felker Pharmacy Inc
- Theresa Lynn Fitzgerald
- Carrie C Grobe
- Kimberli J Guelde
- Karina Nehrkorn
- Henry Oh
- Polo Chiropractic Center PC
- Polo Community Ambulance Service
- Polo Community School District #222
All providers in Polo, IL · Skilled Nursing Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.