Shabbona Helath Care Center

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0032169 Issued in IL

Legal business name

SHABBONA HELATH CARE CENTER

Practice address

409 W Comanche Ave
Shabbona, IL 60550-9790

Phone

(847) 982-2300

Fax

(847) 982-2304

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By 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

Moe Herman

Title

Comptroller

Phone

(847) 982-2300

Specialties & licenses 1

Addresses

Tax ID family

Shabbona Health Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shabbona Supportive Living

  dba none

  • Assisted Living Facility
  • Shabbona, IL
  • NPI 1366639833
  NPD tax ID

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1972778611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W COMANCHE AVE",
            "city": "SHABBONA",
            "state": "IL",
            "postal_code": "605509790",
            "telephone_number": "847-982-2300",
            "fax_number": "847-982-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W COMANCHE AVE",
            "city": "SHABBONA",
            "state": "IL",
            "postal_code": "605509790",
            "telephone_number": "847-982-2300",
            "fax_number": "847-982-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHABBONA HELATH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "MOE",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "847-982-2300"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "0032169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indian Creek Cusd 425
• Prairie Crossing Assisted Living, LLC
• Prairie Crossing Living & Rehabilitation Center, LLC
• Shabbona Comm Fire District
• Shabbona Health Care Center
• Shabbona Supportive Living (none)
• Shabbona Supportive Living
• Leslie Ward, M.A., SLP

• Oxygen Equipment & Supplies (DME) in Shabbona, IL
• Providers in Shabbona, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.