Sharon Health Care Woods Inc

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

1630316 Issued in IL

Legal business name

SHARON HEALTH CARE WOODS INC

Practice address

3223 W Richwoods Blvd
Peoria, IL 61604-1082

Phone

(309) 685-5241

Fax

(309) 688-5746

NPI assigned

Jun 28, 2006

Last updated

Jul 21, 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

Richard Dean Duros

Title

Cfo Coo

Phone

(847) 441-8200

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1306874789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933045",
            "telephone_number": "847-441-8200",
            "fax_number": "847-441-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 W RICHWOODS BLVD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041082",
            "telephone_number": "309-685-5241",
            "fax_number": "309-688-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON HEALTH CARE WOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "DUROS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CFO COO",
        "authorized_official_telephone_number": "847-441-8200"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "1630316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher O Sharkey, MS, ATC
• Amit Bhushan Sharma, AMIT SHARMA
• Sharon Health Care Elms, Inc.
• Sharon Health Care Pines Inc
• Sharon Health Care Willows Inc
• Jaylynn Rae Sharp
• Vanessa Shaw
• Kim Maria Shay
• Sanit S Shay, M.D.
• Thanad S Shay, M.D.

• Mental Illness Intermediate Care Facility in Peoria, IL
• Providers in Peoria, IL by specialty
• Mental Illness Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.