Active NPI
MHC Illinois Inc
- Skilled Nursing Facility
- Litchfield, IL
National Provider Identifier
1891767349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 314000000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.