Organization Active NPI

SH Care, LLC

Doing business as Sycamore Healthcare Center

  • Skilled Nursing Facility
  • Quincy, IL
National Provider Identifier
1508137936
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SH CARE, LLC
Doing business as
Sycamore Healthcare Center
Practice address
720 Sycamore St
Quincy, IL 62301-1639
Phone
(217) 222-1480
Fax
(217) 222-0962
NPI assigned
Jan 17, 2012
Organization subpart
Yes
Parent organization
JLM FINANCIAL HEALTHCARE, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Mr. Jamie Nickle
Title
Director
Phone
(630) 501-0996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

720 Sycamore St
Quincy, IL 62301-1639

Mailing address

1S443 Summit Ave
Oakbrook Terrace, IL 60181-3989
Phone (847) 767-5763

Other identifiers 1

IdentifierTypeStateIssuer
0051649MedicaidIL

Other names 1

  • Sycamore Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1508137936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S443 SUMMIT AVE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813989",
            "telephone_number": "847-767-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SYCAMORE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623011639",
            "telephone_number": "217-222-1480",
            "fax_number": "217-222-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JLM FINANCIAL HEALTHCARE, LP",
        "enumeration_date": "2012-01-17",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "NICKLE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-501-0996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051649",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.