Douglas Rehabilitation and Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DOUGLAS REHABILITATION AND CARE CENTER LLC

Doing business as

Douglas Nursing and Rehabilitation Center

Practice address

3516 Powell Lane
Matloon, IL 61938

Phone

(217) 234-6401

Fax

(217) 258-3300

NPI assigned

Nov 6, 2006

Last updated

Oct 28, 2013By 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. Robert G Hedges

Title

Managing Member of LLC

Phone

(217) 528-0044

Specialties & licenses 1

Addresses

Other names 1

• Douglas Nursing and Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1386713451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 S 6TH STREET",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032828",
            "telephone_number": "217-528-0044",
            "fax_number": "217-528-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 POWELL LANE",
            "city": "MATLOON",
            "state": "IL",
            "postal_code": "61938",
            "telephone_number": "217-234-6401",
            "fax_number": "217-258-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS REHABILITATION AND CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "HEDGES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING MEMBER OF LLC",
        "authorized_official_telephone_number": "217-528-0044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.