County Of Randolph Nursing Home

LBN: County Of Randolph Nursing Home
County Of Randolph Nursing Home is an health care organization with primary practice located at 312 W Belmont St , Sparta IL 62286-1709. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. County Of Randolph Nursing Home can be contacted via phone (618) 443-4351, or through Dilday, Liz via phone (618) 443-4351.

Contact Information

Primary practice address
312 W Belmont St Sparta IL 62286-1709
Phone: (618) 443-4351
Fax: (618) 443-2700
Website:
Map and Directions
Authorized official contact:
Name: Dilday, Liz
Phone: (618) 443-4351

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0000497 Illinois

Profile Details

NPI number 1881734416
LBN Legal business name County Of Randolph Nursing Home
DBA Doing business as
Authorized official Dilday, Liz
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Aug 19th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881734416 NPPES
Illinois MEDICAID 0000497

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