Organization Active NPI

Hoosier Care

Doing business as Swann Special Care

  • Pediatric Skilled Nursing Facility
  • Champaign, IL
National Provider Identifier
1306859731
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
0035483 Issued in IL
Legal business name
HOOSIER CARE
Doing business as
Swann Special Care
Practice address
109 Kenwood Rd
Champaign, IL 61821-2905
Phone
(217) 356-5164
Fax
(217) 356-7873
NPI assigned
Aug 15, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Mrs. Brenda Campbell
Title
Ar Manager
Phone
(859) 255-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 0035483 IL Primary

Addresses

Primary practice location

109 Kenwood Rd
Champaign, IL 61821-2905

Mailing address

535 W 2ND St Ste 105
Lexington, KY 40508-1284
Phone (859) 255-0075

Other names 1

  • Swann Special Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hoosier Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

535 W Second St
Ste 105
Lexington, KY 40508

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1306859731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W 2ND ST STE 105",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405081284",
            "telephone_number": "859-255-0075",
            "fax_number": "859-281-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 KENWOOD RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618212905",
            "telephone_number": "217-356-5164",
            "fax_number": "217-356-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "859-255-0075",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "IL",
            "license": "0035483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swann Special Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.