Sycamore Healthcare Centre

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0045153 Issued in IL

Legal business name

SYCAMORE HEALTHCARE CENTRE

Practice address

720 Sycamore St
Quincy, IL 62301-1639

Phone

(217) 222-1480

Fax

(217) 222-0962

NPI assigned

Oct 7, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Blackledge

Title

Bookkeeper

Phone

(217) 222-1480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609864214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "SYCAMORE HEALTHCARE CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKLEDGE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "217-222-1480"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0045153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunset Home
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• Superior Performance Eye Care Services, Inc (Specs)
• Conward Matthew Swift II, PHARMD, MBA
• Hollis Stephen Swink, MA, ICCS, LCPC, CAAD
• Sycamore Operator LLC
• Koretta G Sykes
• Malik Sylvester, BS MHP
• Mackenzi Jo Tallcott, M.S., CCC-SLP
• Roula Y. Tanios, M.D.

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