Organization Active NPI

East Rochelle Nursing and Rehabilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Rochelle, IL
National Provider Identifier
1447249081
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0044867 Issued in IL
Legal business name
EAST ROCHELLE NURSING AND REHABILITATION CENTER
Practice address
1021 N Caron Rd
Rochelle, IL 61068-9647
Phone
(815) 562-4047
Fax
(815) 562-6689
NPI assigned
Oct 17, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Elisha Atkin, LICENSE NH ADMIN
Title
Manager
Phone
(847) 470-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0044867 IL Primary

Addresses

Primary practice location

1021 N Caron Rd
Rochelle, IL 61068-9647

Mailing address

1021 N Caron Rd
Rochelle, IL 61068-9647
Phone (815) 562-4047

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447249081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N CARON RD",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610689647",
            "telephone_number": "815-562-4047",
            "fax_number": "815-562-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 N CARON RD",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610689647",
            "telephone_number": "815-562-4047",
            "fax_number": "815-562-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ROCHELLE NURSING AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-470-0000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSE NH ADMIN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0044867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

Sources for this page

  • 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.