Active NPI
Residential Alternatives of Illinois, Inc.
- Skilled Nursing Facility
- Freeport, IL
National Provider Identifier
1619146263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.
- Practice address
- 900 South Kiwanis Drive
Freeport, IL 61032 - Phone
- (815) 235-6196
- Fax
- (815) 235-5365
- NPI assigned
- Feb 28, 2008
- Organization subpart
- Yes
- Parent organization
- RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ronald J Wilson
- Title
- Cfo
- Phone
- (309) 343-1550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0049155 | IL | |
| Skilled Nursing Facility | 314000000X | IL | Primary |
Addresses
Primary practice location
900 South Kiwanis Drive
Freeport, IL 61032
Mailing address
285 South Farnham Street
Galesburg, IL 61401
Phone (309) 343-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049155 | Other | IL | LICENSE # |
Other names 1
- Freeport Rehab and Health Care Center
National Provider Directory
National Provider Directory- Part of
- Residential Alternatives of Illinois Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Danville, IL
- NPI 1649251059
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429488000000",
"number": "1619146263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 SOUTH FARNHAM STREET",
"city": "GALESBURG",
"state": "IL",
"postal_code": "61401",
"telephone_number": "309-343-1550",
"fax_number": "309-343-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SOUTH KIWANIS DRIVE",
"city": "FREEPORT",
"state": "IL",
"postal_code": "61032",
"telephone_number": "815-235-6196",
"fax_number": "815-235-5365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RESIDENTIAL ALTERNATIVES OF ILLINOIS, INC.",
"enumeration_date": "2008-02-28",
"last_updated": "2015-04-20",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "309-343-1550",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0049155",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "0049155",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Freeport Rehab and Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.