Organization Active NPI

McLean County Nursing Home

  • Non-emergency Medical Transport (VAN)
  • Normal, IL
National Provider Identifier
1497275069
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MCLEAN COUNTY NURSING HOME
Practice address
901 N. Main St
Normal, IL 61761
Phone
(309) 888-5380
Fax
(309) 454-4594
NPI assigned
Jun 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Cindy Wegner
Title
Administrator
Phone
(309) 888-5380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X IL Primary

Addresses

Primary practice location

901 N. Main St
Normal, IL 61761

Mailing address

901 N Main St
Normal, IL 61761-1501
Phone (309) 888-5380

National Provider Directory

National Provider Directory
Tax ID family
County of McLean5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497275069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N MAIN ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611501",
            "telephone_number": "309-888-5380",
            "fax_number": "309-454-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N. MAIN ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-888-5380",
            "fax_number": "309-454-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN COUNTY NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEGNER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-888-5380"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.