NPIMap

Organization Active NPI

Frances House Inc

Doing business as Stouffer Terrace

  • Intellectual Disabilities Intermediate Care Facility
  • Oregon, IL
National Provider Identifier
1710159165
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
33951 Issued in IL
Legal business name
FRANCES HOUSE INC
Doing business as
Stouffer Terrace
Practice address
910 S Fifth Street
Oregon, IL 61061-2308
Phone
(815) 732-3178
Fax
(815) 732-2440
NPI assigned
Mar 26, 2008
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANCES HOUSE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Ronald J Wilson
Title
Authorized Agent
Phone
(309) 343-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 33951 IL Primary

Addresses

Primary practice location

910 S Fifth Street
Oregon, IL 61061-2308

Mailing address

285 South Farnham Street
Galesburg, IL 61401-5323
Phone (309) 343-1550

Other names 1

  • Stouffer Terrace Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710159165. Details of each certification follow.

  • CCN 14G172 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 14G172

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
STOUFFER TERRACE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Apr 20, 1988
Last certification
Nov 14, 2024
Beds
16
Ownership / control type
Private (non-profit)
Facility address
910 South Fifth Street
Oregon, IL 61061

National Provider Directory

National Provider Directory
Tax ID family
Frances House Inc21 organizations share this tax ID, including this one
Part of
Frances House Inc

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

910 S 5th St
Oregon, IL 61061
Phone (815) 732-3178

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1710159165",
    "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": "614015323",
            "telephone_number": "309-343-1550",
            "fax_number": "309-343-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S FIFTH STREET",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610612308",
            "telephone_number": "815-732-3178",
            "fax_number": "815-732-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCES HOUSE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCES HOUSE INC",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "309-343-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "33951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stouffer Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon, IL

Sources for this page

Verify at the official NPI Registry.