Imboden Creek Gardens LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IMBODEN CREEK GARDENS LLC

Doing business as

Imboden Creek Gardens

Practice address

185 W Imboden Dr
Decatur, IL 62521-5251

Phone

(217) 233-1425

NPI assigned

Jan 7, 2022

Last updated

Aug 11, 2023By 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. Scott E Stout, LNHANPI 1952874075

Title

Owner

Phone

(618) 294-8696

Specialties & licenses 1

Addresses

Other names 1

• Imboden Creek Gardens Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott E Stout, LNHA

  • Skilled Nursing Facility
  • Casey, IL
  • NPI 1952874075
  Authorized official Same address or phone
• Kimberlie Koester-Bender

  • Occupational Therapist
  • Moweaqua, IL
  • NPI 1316977291
  NPD

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1891456216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E LOCUST ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629461504",
            "telephone_number": "618-294-8696",
            "fax_number": "618-294-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W IMBODEN DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215251",
            "telephone_number": "217-233-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMBODEN CREEK GARDENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-294-8696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imboden Creek Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Idowu I Ige, MD
• Ashley Kay Ignatowski, CCC-SLP
• Ihc-Decatur Emergency Physicians LLC
• Illini Pharmacy Services LLC (Illini Pharmacy Services)
• Imaging Consultants of Central Illinois SC
• Imboden Creek Living Centers
• Imboden Creek Senior Living & Rehabilitation LLC (Imboden Creek Senior Living & Rehabilitation)
• In Home Care
• Julie Anne Inda, M.S. O.T.R./L
• Infinity-Meds LLP

• Assisted Living Facility in Decatur, IL
• Providers in Decatur, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.