Organization Active NPI

MHC Illinois Inc

  • Skilled Nursing Facility
  • Litchfield, IL
National Provider Identifier
1891767349
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
314000000 Issued in IL
Legal business name
MHC ILLINOIS INC
Practice address
1285 E Union Ave
Litchfield, IL 62056-1766
Phone
(217) 324-3996
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Mr. Theodore M Duay III, C.P.A.
Title
Chief Financial Officer
Phone
(786) 888-3310

Specialties & licenses 1

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

Addresses

Primary practice location

1285 E Union Ave
Litchfield, IL 62056-1766

Mailing address

1055 NE 125TH St
North Miami, FL 33161-5804
Phone (786) 888-3310

Other names 1

  • Litchfield Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Locations

1055 NE 125th St
North Miami, FL 33161

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1891767349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615804",
            "telephone_number": "786-888-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 E UNION AVE",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620561766",
            "telephone_number": "217-324-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHC ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "DUAY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "786-888-3310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "314000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Litchfield Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Litchfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.