NPIMap

Organization Active NPI

Paris Health Care Center Investors LLC

  • Skilled Nursing Facility
  • Paris, IL
National Provider Identifier
1871646133
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0046565 Issued in IL
Legal business name
PARIS HEALTH CARE CENTER INVESTORS LLC
Practice address
1011 N. Main Street
Paris, IL 61944-1145
Phone
(217) 465-5376
Fax
(217) 465-8106
NPI assigned
Jan 19, 2007
Last updated
Oct 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Mrs. Cynthia Rene Roth
Title
Controller
Phone
(317) 557-1190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0046565 IL Primary

Addresses

Primary practice location

1011 N. Main Street
Paris, IL 61944-1145

Mailing address

1011 N. Main Street
Paris, IL 61944-1145
Phone (217) 465-5376

Other identifiers 2

IdentifierTypeStateIssuer
3833592165001MedicaidIL
830362033001MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1871646133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N. MAIN STREET",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619441145",
            "telephone_number": "217-465-5376",
            "fax_number": "217-465-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N. MAIN STREET",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619441145",
            "telephone_number": "217-465-5376",
            "fax_number": "217-465-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIS HEALTH CARE CENTER INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "317-557-1190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0046565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3833592165001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830362033001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.