Organization Active NPI

Hoosier Care Inc.

Doing business as Swann Special Care Center

  • Developmentally Disabled Services Day Training Agency
  • Champaign, IL
National Provider Identifier
1326582701
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
0035485 Issued in IL
Legal business name
HOOSIER CARE INC.
Doing business as
Swann Special Care Center
Practice address
109 Kenwood Rd
Champaign, IL 61821-2905
Phone
(217) 356-5164
Fax
(217) 356-7873
NPI assigned
Dec 5, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Mrs. Wynell Eakle, BA
Title
Cbo Ar Specialist
Phone
(815) 625-5820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 0035485 IL Primary

Addresses

Primary practice location

109 Kenwood Rd
Champaign, IL 61821-2905

Mailing address

1050 Chinoe Rd
Suite 350
Lexington, KY 40502-6571
Phone (859) 255-0075

Other names 1

  • Swann Special Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hoosier Care Inc6 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.

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1326582701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CHINOE RD",
            "address_2": "SUITE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026571",
            "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 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "EAKLE",
        "authorized_official_first_name": "WYNELL",
        "authorized_official_title_or_position": "CBO AR SPECIALIST",
        "authorized_official_telephone_number": "815-625-5820",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "0035485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swann Special Care Center",
            "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 Dec 5, 2016; 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.