NPIMap

Organization Active NPI

Unlimited Development, Inc.

Doing business as UDI 4 Leroy Manor

  • Skilled Nursing Facility
  • Le Roy, IL
National Provider Identifier
1659366672
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0035733 Issued in IL
Legal business name
UNLIMITED DEVELOPMENT, INC.
Doing business as
UDI 4 Leroy Manor
Practice address
509 S Buck Rd
Le Roy, IL 61752-1683
Phone
(309) 962-5000
Fax
(309) 962-6227
NPI assigned
Sep 15, 2005
Last updated
Jul 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0035733 IL Primary

Addresses

Primary practice location

509 S Buck Rd
Le Roy, IL 61752-1683

Mailing address

509 S Buck Rd
Le Roy, IL 61752-1683
Phone (309) 962-5000

Other names 1

  • UDI 4 Leroy Manor Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1659366672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S BUCK RD",
            "city": "LE ROY",
            "state": "IL",
            "postal_code": "617521683",
            "telephone_number": "309-962-5000",
            "fax_number": "309-962-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S BUCK RD",
            "city": "LE ROY",
            "state": "IL",
            "postal_code": "617521683",
            "telephone_number": "309-962-5000",
            "fax_number": "309-962-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2009-07-17",
        "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": "0035733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UDI 4 Leroy Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Le Roy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.