Champaign Urbana Nursing and Rehab LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2075539 Issued in IL

Legal business name

CHAMPAIGN URBANA NURSING AND REHAB LP

Practice address

302 Burwash Ave
Savoy, IL 61874-9572

Phone

(217) 402-9700

Fax

(217) 402-2209

NPI assigned

Dec 18, 2012

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Barak Baver

Title

Owner

Phone

(773) 575-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1841536992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD",
            "address_2": "SUITE 118",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762961",
            "telephone_number": "847-674-8200",
            "fax_number": "814-674-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 BURWASH AVE",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749572",
            "telephone_number": "217-402-9700",
            "fax_number": "217-402-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPAIGN URBANA NURSING AND REHAB LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "BAVER",
        "authorized_official_first_name": "BARAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-575-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "2075539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050062",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clark and Schulze NP Practice
• Brianna Coffey
• Cassandra Lee Colbert, LPC
• Cameron Rose Conroy, LSW

• Skilled Nursing Facility in Savoy, IL
• Providers in Savoy, 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 Feb 3, 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.