Oak Terrace Healthcare Center, Inc., NPI 1659497774
Nursing Facility/Intermediate Care Facility in Springfield, IL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1659497774
NPI Entity Type Organization
Provider Name Oak Terrace Healthcare Center, Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1750 W Washington St, Springfield, IL, US
Provider Mailing Address 1750 W Washington St, Springfield, IL, US, 627024759
Is Sole Proprietor? No
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Organization Official

Official Name MR. Kelly E Smith
Official Position OWNER OPERATOR
Phone 913-362-4942

Primary Taxonomy

Taxonomy Code

313M00000X

Taxonomy Name Nursing Facility/Intermediate Care Facility
Classification

Nursing Facility/Intermediate Care Facility

Group

Nursing & Custodial Care Facilities

License No. 0023010
License State IL
Description An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Business Address

Oak Terrace Healthcare Center, Inc.
1750 W Washington St

Springfield, IL, US

Phone: 217-787-6466
Fax: 217-787-6846

Mailing Address

Oak Terrace Healthcare Center, Inc.
1750 W Washington St
Springfield, IL, US
ZIP 627024759
Phone: 217-787-6466
Fax: 217-787-6846

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