Midamerica Care Foundation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0029322 Issued in IL

Legal business name

MIDAMERICA CARE FOUNDATION

Practice address

900 Kiwanis Dr
Freeport, IL 61032-4580

Phone

(815) 235-6196

Fax

(815) 235-5365

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Addresses

Other names 1

• FREEPORT REHABILITATION AND HEALTH CARE CENTER Doing business as

Locations

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821098799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 KIWANIS DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324580",
            "telephone_number": "815-235-6196",
            "fax_number": "815-235-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 KIWANIS DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324580",
            "telephone_number": "815-235-6196",
            "fax_number": "815-235-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDAMERICA CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-08-22",
        "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": "0029322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FREEPORT REHABILITATION AND HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Mendeloff
• Jasmine L Mendoza
• Amy Meyer
• Jordan Michael Meyer, D.C.
• Laura Meyer
• Midwest Medics, Inc.
• Colleen Lyn Miller, PTA
• Joseph Bernard Miller, DDS
• Terry L Miller, MD
• Jennell Lynn Montgomery

• Skilled Nursing Facility in Freeport, IL
• Providers in Freeport, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.