Organization Active NPI

Newton Care Center, LLC

  • Skilled Nursing Facility
  • Newton, IL
National Provider Identifier
1316911704
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0024984 Issued in IL
Legal business name
NEWTON CARE CENTER, LLC
Practice address
300 S Scott Ave
Newton, IL 62448-1658
Phone
(618) 783-2309
Fax
(618) 783-2732
NPI assigned
Feb 14, 2006
Last updated
Apr 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Mr. Michael Sorrells
Title
Cfo
Phone
(812) 525-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0024984 IL Primary

Addresses

Primary practice location

300 S Scott Ave
Newton, IL 62448-1658

Mailing address

300 S Scott Ave
P.O. Box 360
Newton, IL 62448-1658
Phone (618) 783-2309

Other identifiers 1

IdentifierTypeStateIssuer
371067364001MedicaidIL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0434866Newton Care Center300 S Scott St, Newton, IL 62448Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1316911704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S SCOTT AVE",
            "address_2": "P.O. BOX 360",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481658",
            "telephone_number": "618-783-2309",
            "fax_number": "618-783-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SCOTT AVE",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481658",
            "telephone_number": "618-783-2309",
            "fax_number": "618-783-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "SORRELLS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-525-1114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0024984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371067364001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.