Organization Active NPI

Villa Health Care Inc

Doing business as Villa Health Care West

  • Custodial Care Facility
  • Sherman, IL
National Provider Identifier
1841479797
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
0044511 Issued in IL
Legal business name
VILLA HEALTH CARE INC
Doing business as
Villa Health Care West
Practice address
100 Stardust Dr
Sherman, IL 62684-9763
Phone
(217) 744-9891
Fax
(217) 744-8378
NPI assigned
Oct 29, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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
(866) 444-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 0044511 IL Primary

Addresses

Primary practice location

100 Stardust Dr
Sherman, IL 62684-9763

Mailing address

100 Stardust Dr
Sherman, IL 62684-9763
Phone (217) 744-9891

Other names 1

  • VILLA HEALTH CARE WEST Doing business as

National Provider Directory

National Provider Directory

Locations

100 Stardust Dr
Sherman, IL 62684
Phone (217) 744-9891

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1841479797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STARDUST DR",
            "city": "SHERMAN",
            "state": "IL",
            "postal_code": "626849763",
            "telephone_number": "217-744-9891",
            "fax_number": "217-744-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STARDUST DR",
            "city": "SHERMAN",
            "state": "IL",
            "postal_code": "626849763",
            "telephone_number": "217-744-9891",
            "fax_number": "217-744-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "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": "866-444-0900"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "IL",
            "license": "0044511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLA HEALTH CARE WEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.