Prairie View Care Center of Lewistown, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0040303 Issued in IL

Legal business name

PRAIRIE VIEW CARE CENTER OF LEWISTOWN, INC

Practice address

175 E Sycamore Dr
Lewistown, IL 61542-1749

Phone

(309) 547-2267

Fax

(309) 547-2272

NPI assigned

Mar 31, 2006

Last updated

Aug 22, 2020By 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

Mr. Bradley Alter

Title

Ceo

Phone

(847) 674-4700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376504969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3856 OAKTON ST",
            "address_2": "SUITE 200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763454",
            "telephone_number": "847-674-4700",
            "fax_number": "847-674-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E SYCAMORE DR",
            "city": "LEWISTOWN",
            "state": "IL",
            "postal_code": "615421749",
            "telephone_number": "309-547-2267",
            "fax_number": "309-547-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE VIEW CARE CENTER OF LEWISTOWN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALTER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-674-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0040303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber L Nelson, SSP
• Niemann Foods Inc (County Market Pharmacy 458)
• Phyllis Nugent, RN
• Prairie View Care Center of Lewistown
• Prairie View Care Center of Lewistown
• Jesse J Stinauer, D.M.D.
• Pamela Jo Tippey-Herrick, LCPC
• Sabrina Leanne Turner, L.P.C.
• Kaitlyn Van Pelt
• Kylee Marie Weaver, FNP

• Skilled Nursing Facility in Lewistown, IL
• Providers in Lewistown, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.