Organization Active NPI

Champaign County

  • Skilled Nursing Facility
  • Urbana, IL
National Provider Identifier
1982602330
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0001636 Issued in IL
Legal business name
CHAMPAIGN COUNTY
Practice address
500 South Art Bartell Road
Urbana, IL 61802
Phone
(217) 384-3874
Fax
(217) 337-0120
NPI assigned
Jul 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Mrs. Karen L Noffke, RN
Title
Administrator
Phone
(217) 693-5015

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0001636 IL
Skilled Nursing Facility 314000000X 0001636 IL Primary
Nursing Facility Supplies (DME) 332BN1400X 001636 IL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 001636 IL

Addresses

Primary practice location

500 South Art Bartell Road
Urbana, IL 61802

Mailing address

500 South Art Bartell Road
Urbana, IL 61802
Phone (217) 384-3784

National Provider Directory

National Provider Directory

Locations

500 Art Bartell Rd
Urbana, IL 61802
Phone (217) 384-3784

1701 E Main St
Urbana, IL 61802

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1982602330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SOUTH ART BARTELL ROAD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61802",
            "telephone_number": "217-384-3784",
            "fax_number": "217-337-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SOUTH ART BARTELL ROAD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61802",
            "telephone_number": "217-384-3874",
            "fax_number": "217-337-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPAIGN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "NOFFKE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-693-5015",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0001636",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0001636",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "IL",
            "license": "001636",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "001636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.