Active NPI
McCall Adult Daycare Center, Inc
Doing business as Key Club
- Assisted Living Facility
- Danville, IL
National Provider Identifier
1740628155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.