Asta Care Center of Colfax LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0051227 Issued in IL

Legal business name

ASTA CARE CENTER OF COLFAX LLC

Practice address

402 S Harrison St
Colfax, IL 61728-7536

Phone

(309) 723-2591

NPI assigned

Dec 30, 2010

Last updated

Dec 30, 2010By 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. Craig Frank

Title

VP of Finance

Phone

(847) 742-8822

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1427352756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S HARRISON ST",
            "city": "COLFAX",
            "state": "IL",
            "postal_code": "617287536",
            "telephone_number": "309-723-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S HARRISON ST",
            "city": "COLFAX",
            "state": "IL",
            "postal_code": "617287536",
            "telephone_number": "309-723-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTA CARE CENTER OF COLFAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "847-742-8822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0051227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "145992",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aperion Care Colfax LLC
• Arba Care Center of Colfax LLC
• Allie L Born, LMT
• Colfax Family Chiropractic
• Eastern McLean County Ambulance Assoc (Emcaa)
• Heritage Manor - Colfax, LLC
• Sandy Jo Kollross, SLP

• Skilled Nursing Facility in Colfax, IL
• Providers in Colfax, 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 Dec 30, 2010; 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.