Prairie Living LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

PRAIRIE LIVING LLC

Doing business as

Katy's Cottage

Practice address

200 W International Ave
Rantoul, IL 61866-3628

Phone

(217) 892-2800

Fax

(217) 892-2833

NPI assigned

Aug 22, 2012

Organization subpart

Yes

Parent organization

CHANUTE RETIREMENT JOINT VENTUREAs reported in NPPES

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

Authorized official

Name

Grant McCorkhill

Title

Manager

Phone

(312) 715-5743

Specialties & licenses 1

Addresses

Other names 1

• Katy's Cottage Doing business as

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345593600000",
    "number": "1922356922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W INTERNATIONAL AVE",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618663628",
            "telephone_number": "217-892-2800",
            "fax_number": "217-892-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W INTERNATIONAL AVE",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618663628",
            "telephone_number": "217-892-2800",
            "fax_number": "217-892-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANUTE RETIREMENT JOINT VENTURE",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORKHILL",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-715-5743"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katy's Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Osf Multi-Specialty Group
• Oladipupo O Osunbunmi, M.D.
• Alexander Pak
• Angela Perry, M,ED.
• Phillips Warner Rantoul, LLC - Rantoul Operations Series
• Prairie Village Supportive Living LLC
• Preferred Care LLC
• Jesus Presiado, APRN
• Promise Healthcare NFP
• Rantoul City School 137

• Alzheimer Center (Dementia Center) in Rantoul, IL
• Providers in Rantoul, IL by specialty
• Alzheimer Center (Dementia Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.