Carle Foundation Hospital

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

CARLE FOUNDATION HOSPITAL

Doing business as

Carle Therapy Services

Practice address

1701 E College Ave
Bloomington, IL 61704-2101

Phone

(309) 664-3420

Fax

(309) 664-3422

NPI assigned

Mar 22, 2007

Last updated

Apr 20, 2008By 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

Dr. James C. Leonard, M.D.

Title

President and Ceo

Phone

(217) 383-3220

Specialties & licenses 1

Addresses

Other names 1

• Carle Therapy Services Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Carle Foundation Hospital

  dba Carle Home Care

  • Home Health Agency
  • Champaign, IL
  • NPI 1891780615

  Member Of

  NPD member

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1376669267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-3220",
            "fax_number": "217-383-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E COLLEGE AVE",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042101",
            "telephone_number": "309-664-3420",
            "fax_number": "309-664-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLE FOUNDATION HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "217-383-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carle Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Sharolynn Carey, MS, RDN, LDN
• Carist LLC
• Braden James Carius, PA
• Carle Clinic Association, PC
• Carle Foundation Hospital (Carle RX Express)
• Carle West Physician Group Inc (Carle McLean Orthopedic)
• Carley Nigro Counseling, PLLC
• Jennifer Marie Carlock, LCSW
• Hadassah Carlson, LCPC
• Michael John Carlson

• Rehabilitation Clinic/Center in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.