Organization Active NPI

North Main Nursing and Rehab Center

  • Skilled Nursing Facility
  • Rockford, IL
National Provider Identifier
1821266065
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0049106 Issued in IL
Legal business name
NORTH MAIN NURSING AND REHAB CENTER
Practice address
1920 N Main St
Rockford, IL 61103-4708
Phone
(815) 964-6834
Fax
(815) 310-0688
NPI assigned
Feb 11, 2008
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
Brittney Rowe
Title
Administrator
Phone
(815) 964-6835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0049106 IL Primary

Addresses

Primary practice location

1920 N Main St
Rockford, IL 61103-4708

Mailing address

1920 N Main St
Rockford, IL 61103-4708
Phone (815) 964-6834

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1821266065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611034708",
            "telephone_number": "815-964-6834",
            "fax_number": "815-310-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611034708",
            "telephone_number": "815-964-6834",
            "fax_number": "815-310-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MAIN NURSING AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-964-6835"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0049106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.