Active NPI
Heartland of Champaign Il LLC
- Skilled Nursing Facility
- Champaign, IL
National Provider Identifier
1790723732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0027581
- Legal business name
- HEARTLAND OF CHAMPAIGN IL LLC
- Practice address
- 309 E Springfield Ave
Champaign, IL 61820-5405 - Phone
- (217) 352-5135
- Fax
- (217) 352-9139
- NPI assigned
- Jun 3, 2006
- 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. Martin D Allen
- Title
- Director
- Phone
- (419) 252-5734
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Skilled Nursing Facility | 314000000X | 0027581 | IL | Primary |
Addresses
Primary practice location
309 E Springfield Ave
Champaign, IL 61820-5405
Mailing address
333 N Summit St
Toledo, OH 43604-2615
Phone (419) 252-5500
Other names 1
- Heartland Health Care Center-Champaign
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1497484800000",
"number": "1790723732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436042615",
"telephone_number": "419-252-5500",
"fax_number": "877-385-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E SPRINGFIELD AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618205405",
"telephone_number": "217-352-5135",
"fax_number": "217-352-9139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND OF CHAMPAIGN IL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2017-06-15",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "419-252-5734",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0027581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heartland Health Care Center-Champaign",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.