Oak Terrace Healthcare Center, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0023010 Issued in IL

Legal business name

OAK TERRACE HEALTHCARE CENTER, INC.

Practice address

1750 W Washington St
Springfield, IL 62702-4759

Phone

(217) 787-6466

Fax

(217) 787-6846

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kelly E Smith

Title

Owner Operator

Phone

(913) 362-4942

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1659497774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 W WASHINGTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024759",
            "telephone_number": "217-787-6466",
            "fax_number": "217-787-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 W WASHINGTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024759",
            "telephone_number": "217-787-6466",
            "fax_number": "217-787-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TERRACE HEALTHCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "913-362-4942",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0023010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven D. O'Marro, M.D.
• Jennifer Ann O'Neal, RPH.
• Susan M. O'Neal, D.O.
• Katherine S O'Neil, FNP-BC
• Teresa Marie Steil O'Sullivan, PT
• Kristin Dawn Oakley, LCPC
• Hilla Obaidullah
• Sara Oberg
• Michael Obregon, MD
• Irampelh Razon Ocasla, RPT

• Nursing Facility/Intermediate Care Facility in Springfield, IL
• Providers in Springfield, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.