Hoosier Care, Inc

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

HOOSIER CARE, INC

Practice address

109 Kenwood Rd
Champaign, IL 61821-2905

Phone

(217) 356-5164

Fax

(217) 356-7873

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Campbell

Title

Ar Manager

Phone

(859) 255-0075

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Swann Special Care Center Doing business as

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1992838916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 KENWOOD RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618212905",
            "telephone_number": "217-356-5164",
            "fax_number": "217-356-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 KENWOOD RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618212905",
            "telephone_number": "217-356-5164",
            "fax_number": "217-356-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "859-255-0075",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311262572001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swann Special Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittney Homann, MSW, LCSW
• McClain Homann, RBT
• Owen Homolka
• Hoosier Care
• Hoosier Care Inc.
• Hope-Centered Counseling, LLC
• Greigham J Hopkins, OD
• Michaela Hopper, MBA, RDN, LDN
• Helen Hornbuckle
• Leslie Baker Horner, R.PH

• Pediatric Skilled Nursing Facility in Champaign, IL
• Providers in Champaign, IL by specialty
• Pediatric Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.