Mattoon Healthcare & Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0047860 Issued in IL

Legal business name

MATTOON HEALTHCARE & REHABILITATION CENTER

Practice address

2121 S 9TH St
Mattoon, IL 61938-6113

Phone

(217) 235-7138

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Joseph C Tutera

Title

Owner

Phone

(816) 444-0900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1922261098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S 9TH ST",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619386113",
            "telephone_number": "217-235-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S 9TH ST",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619386113",
            "telephone_number": "217-235-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTOON HEALTHCARE & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-444-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0047860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "542186933001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mattoon Dental PC
• Mattoon Estates North, LLC
• Mattoon Estates South, LLC
• Mattoon Eye Center S C
• Mattoon Furniture
• Mattoon Manor, LLC (Mattoon Rehabilitation & Health Care Center)
• Mattoon Vision Associates (Mattoon Community Eyecare)
• Nicole Maus, CRNA
• Tatiana K Mauzy, MOT,OTR/L
• Cara McCall, B.A.

• Skilled Nursing Facility in Mattoon, IL
• Providers in Mattoon, 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 Oct 30, 2012; 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.