Active NPI
Midamerica Care Foundation
Doing business as Marigold Rehabilitation and Health Care Center
- Skilled Nursing Facility
- Galesburg, IL
National Provider Identifier
1306846258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0031245
- Legal business name
- MIDAMERICA CARE FOUNDATION
- Doing business as
- Marigold Rehabilitation and Health Care Center
- Practice address
- 275 E Carl Sandburg Dr
Galesburg, IL 61401-1249 - Phone
- (309) 344-1151
- Fax
- (309) 344-2007
- NPI assigned
- Jul 21, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph C Tutera
- Title
- President, Ceo
- Phone
- (816) 444-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0031245 | IL | Primary |
Addresses
Primary practice location
275 E Carl Sandburg Dr
Galesburg, IL 61401-1249
Mailing address
275 E Carl Sandburg Dr
Galesburg, IL 61401-1249
Phone (309) 344-1151
Other names 1
- MARIGOLD REHABILITATION AND HEALTH CARE CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Carlinville Rehab Health Care Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Carlinville Rehabilitation and Health Care Center
- Skilled Nursing Facility
- Carlinville, IL
- NPI 1811997760
-
dba Hillsboro Rehabilitation & Health Care Center
- Skilled Nursing Facility
- Hillsboro, IL
- NPI 1356341226
-
dba Polo Rehabilitation and Health Care Center
- Skilled Nursing Facility
- Polo, IL
- NPI 1295732360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306846258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 E CARL SANDBURG DR",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011249",
"telephone_number": "309-344-1151",
"fax_number": "309-344-2007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 E CARL SANDBURG DR",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011249",
"telephone_number": "309-344-1151",
"fax_number": "309-344-2007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDAMERICA CARE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TUTERA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "816-444-0900"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0031245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MARIGOLD REHABILITATION AND HEALTH CARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Galesburg, IL
Sources for this page
- 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.