Shiela Edaya Loyola, SHIELA

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

070017759 Issued in IL

Practice address

1100 W Jeffery St
Kankakee, IL 60901-4680

Phone

(309) 278-2874

NPI assigned

May 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shiela Edaya Loyola Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back N Motion Rehab Services LLCGroup PAC ID 4385088517, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back N Motion Rehab Services LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Marion, IL
  • NPI 1740050277
  Medicare reassignment Care Compare group NPD
• Sunshine Gardens Nursing & Rehab LLC

  • Skilled Nursing Facility
  • Marion, IL
  • NPI 1629669916
  Medicare reassignment

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1457644544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W JEFFERY ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014680",
            "telephone_number": "309-278-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W JEFFERY ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014680",
            "telephone_number": "309-278-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYOLA",
        "first_name": "SHIELA",
        "middle_name": "EDAYA",
        "credential": "SHIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "070017759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIELA",
            "last_name": "LOYOLA",
            "middle_name": "EDAYA",
            "credential": "SHIELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa C Loeffel
• Meva Loiselle, PT
• Kenneth G Long, RPH
• Katilyn Renee Lopez, COTA/L
• Kendra Marie Lottinville
• Megan L Lucas, PHARMD, MHA
• Patricia Azzarelli Lynch, CNP
• Lynn Gaye Brown, M.D., S.C.
• Jolene T Maass, APN
• Joy N Maccracken, CRNA

• Skilled Nursing Facility in Kankakee, IL
• Providers in Kankakee, 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 May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.