Organization Active NPI

Arthur Merkle Clara Knipprath Nursing Home

Doing business as Merkle Knipprath Nursing Home

  • Oxygen Equipment & Supplies (DME)
  • Clifton, IL
National Provider Identifier
1346493111
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0021832 Issued in IL
Legal business name
ARTHUR MERKLE CLARA KNIPPRATH NURSING HOME
Doing business as
Merkle Knipprath Nursing Home
Practice address
1190 E 2900 North Rd
Clifton, IL 60927-7103
Phone
(815) 694-2306
Fax
(815) 694-2818
NPI assigned
Oct 24, 2008
Last updated
Oct 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Mr. Stephen Debraekeleer, LNHA
Title
Administrator
Phone
(815) 694-2306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0021832 IL Primary

Addresses

Primary practice location

1190 E 2900 North Rd
Clifton, IL 60927-7103

Mailing address

1190 E 2900 North Rd
Clifton, IL 60927-7103
Phone (815) 694-2306

Other names 1

  • MERKLE KNIPPRATH NURSING HOME Doing business as

National Provider Directory

National Provider Directory

Locations

1190 E 2900 North Rd
Clifton, IL 60927
Phone (815) 694-2306

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1346493111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 E 2900 NORTH RD",
            "city": "CLIFTON",
            "state": "IL",
            "postal_code": "609277103",
            "telephone_number": "815-694-2306",
            "fax_number": "815-694-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E 2900 NORTH RD",
            "city": "CLIFTON",
            "state": "IL",
            "postal_code": "609277103",
            "telephone_number": "815-694-2306",
            "fax_number": "815-694-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR MERKLE CLARA KNIPPRATH NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "DEBRAEKELEER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-694-2306",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "0021832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERKLE KNIPPRATH NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.