Asta Care Center of Bloomington LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0042283 Issued in IL

Legal business name

ASTA CARE CENTER OF BLOOMINGTON LLC

Practice address

1509 N Calhoun
Bloomington, IL 61704

Phone

(309) 827-6046

Fax

(309) 829-1992

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Seth Gillman

Title

Member

Phone

(309) 827-6046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518948280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 N CALHOUN",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "61704",
            "telephone_number": "309-827-6046",
            "fax_number": "309-829-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N CALHOUN",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "61704",
            "telephone_number": "309-827-6046",
            "fax_number": "309-829-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTA CARE CENTER OF BLOOMINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILLMAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "309-827-6046"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0042283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Kristina Ash
• Ashley R. Dagner, LCPC, PLLC
• Asone Speech Therapy, PLLC
• Associates in Dermatology SC
• Associates in Obstetrics & Gynecology SC
• Erin Dawn Astroth
• Christine Lyn Atchison, APN, FNP-C
• Ryan Aten
• Linda Jean Ater, PTA
• Hannah Bethany Atkins, PA-C

• Skilled Nursing Facility in Bloomington, IL
• Providers in Bloomington, 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 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.