Sharon Health Care Pines Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1719828 Issued in IL

Legal business name

SHARON HEALTH CARE PINES INC

Practice address

3614 N Rochelle
Peoria, IL 61604-1039

Phone

(309) 688-0350

Fax

(847) 688-4564

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Richard Dean Duros

Title

Cfo Coo

Phone

(847) 441-8200

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1699703074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933045",
            "telephone_number": "847-441-8200",
            "fax_number": "847-441-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 N ROCHELLE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041039",
            "telephone_number": "309-688-0350",
            "fax_number": "847-688-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON HEALTH CARE PINES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "DUROS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CFO COO",
        "authorized_official_telephone_number": "847-441-8200"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "1719828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinoda Shanthappa, MD
• Kathy Lynn Shapley, PH.D. CCC-SLP
• Christopher O Sharkey, MS, ATC
• Amit Bhushan Sharma, AMIT SHARMA
• Sharon Health Care Elms, Inc.
• Sharon Health Care Willows Inc
• Sharon Health Care Woods Inc
• Jaylynn Rae Sharp
• Vanessa Shaw
• Kim Maria Shay

• Nursing Facility/Intermediate Care Facility in Peoria, IL
• Providers in Peoria, 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 Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.