Organization Active NPI

Auburn Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Auburn, IL
National Provider Identifier
1821098211
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0047076 Issued in IL
Legal business name
AUBURN NURSING AND REHABILITATION CENTER LLC
Practice address
304 W Maple Ave
Auburn, IL 62615-1177
Phone
(217) 438-6125
Fax
(217) 438-6316
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Joseph C Tutera
Title
President, Ceo
Phone
(816) 444-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0047076 IL Primary

Addresses

Primary practice location

304 W Maple Ave
Auburn, IL 62615-1177

Mailing address

304 W Maple Ave
Auburn, IL 62615-1177
Phone (217) 438-6125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1821098211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W MAPLE AVE",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "626151177",
            "telephone_number": "217-438-6125",
            "fax_number": "217-438-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W MAPLE AVE",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "626151177",
            "telephone_number": "217-438-6125",
            "fax_number": "217-438-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "816-444-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0047076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.