Organization Active NPI

Living Centers Inc

  • Skilled Nursing Facility
  • Decatur, IL
National Provider Identifier
1790782308
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0036574 Issued in IL
Legal business name
LIVING CENTERS INC
Doing business as
Imboden Creek Living Center
Practice address
180 W Imboden Dr
Decatur, IL 62521-5238
Phone
(217) 422-7150
Fax
(217) 422-9418
NPI assigned
Jun 29, 2005
Organization subpart
No

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
Rhonda Luther, MA
Title
Coo
Phone
(217) 422-7150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0036574 IL Primary

Addresses

Primary practice location

180 W Imboden Dr
Decatur, IL 62521-5238

Mailing address

180 W Imboden Dr
Decatur, IL 62521-5238
Phone (217) 422-7150

Other names 1

  • Imboden Creek Living Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0646954Imboden Creek Senior Living Center & Rehab, LLC180 West Imboden Dr, Decatur, IL 62521Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1790782308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W IMBODEN DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215238",
            "telephone_number": "217-422-7150",
            "fax_number": "217-422-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W IMBODEN DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215238",
            "telephone_number": "217-422-7150",
            "fax_number": "217-422-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "217-422-7150",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0036574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imboden Creek Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.