Piatt Co

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PIATT CO

Doing business as

Piatt County Nursing Home

Practice address

1111 N State St
Monticello, IL 61856

Phone

(217) 762-2506

Fax

(217) 762-6325

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Karla L Bradley

Title

Executive Director

Phone

(217) 762-6303

Specialties & licenses 1

Addresses

Other names 1

• Piatt County Nursing Home Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295814556. Details of each certification follow.

• CCN 145883 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 145883

Legal name

PIATT CO.

Doing business as

PIATT COUNTY NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1996

Last certification

Apr 9, 2024

Beds

100

Ownership / control type

City/County

Organization structure

GovernmentNon-profit

Enrollment address

1111 N State St
Monticello, IL 61856-1104

Nursing home name

PIATT COUNTY NURSING HOME

Listed as

Piatt County Nursing HomeCCN 145883 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Government - City/county

Certified

Jul 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10085.5 residents per day on average

Penalties (3 years)

4Fines totaling $182,948

Processed by Care Compare on Aug 1, 2026.

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

Piatt Co3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Maple Point

  • Assisted Living Facility
  • Monticello, IL
  • NPI 1336382332
  NPD tax ID
• Piatt County Transportation

  • Bus
  • Monticello, IL
  • NPI 1316058456
  NPD tax ID

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• James E Manint, D.O.

  • Family Medicine Physician
  • Monticello, IL
  • NPI 1376534420

  Adp of the SNF, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Aimee C Yu-Ballard, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Urbana, IL
  • NPI 1083675045

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1295814556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "61856",
            "telephone_number": "217-762-2506",
            "fax_number": "217-762-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N STATE ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "61856",
            "telephone_number": "217-762-2506",
            "fax_number": "217-762-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIATT CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-762-6303"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piatt County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Oberheim, APN
• Jennifer M Oyler, PA-C
• Alina Paul, MD
• Pediatric Physical Therapy of Central Illinois LTD
• Phillips Warner Realty, LLC - Monticello Operation Series
• Piatt County Mental Health Center
• Piatt County Mental Health Center
• Piatt County Mental Health Center
• Piatt County Transportation
• Sarah Pittman

• Skilled Nursing Facility in Monticello, IL
• Providers in Monticello, 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 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.