Active NPI
Champaign County
- Skilled Nursing Facility
- Urbana, IL
National Provider Identifier
1982602330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0001636
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.