Organization Active NPI

McCall Adult Daycare Center, Inc

Doing business as Key Club

  • Assisted Living Facility
  • Danville, IL
National Provider Identifier
1740628155
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MCCALL ADULT DAYCARE CENTER, INC
Doing business as
Key Club
Practice address
1225 N Jackson St
Danville, IL 61832-3029
Phone
(217) 446-9000
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Mr. Roger McCall, RN MSN
Title
Owner/Operator
Phone
(217) 446-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1225 N Jackson St
Danville, IL 61832-3029

Mailing address

1225 N Jackson St
Danville, IL 61832-3029
Phone (217) 446-9000

Other names 1

  • Key Club Doing business as

National Provider Directory

National Provider Directory

Locations

1225 N Jackson St
Danville, IL 61832
Phone (217) 446-9000

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1740628155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 N JACKSON ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323029",
            "telephone_number": "217-446-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N JACKSON ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323029",
            "telephone_number": "217-446-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCALL ADULT DAYCARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "217-446-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN MSN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.