Organization · Type 2 NPI

Lasalle County Board Office

Nursing Facility/Intermediate Care Facility · Ottawa, IL

NPI number 1174541015 Active

Practice location

1380 N 27th Rd
Ottawa, IL 61350-9732

Fax (815) 434-7141

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X000010637 (IL)

Nursing Facility/Intermediate Care Facility: 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 conditi…

About NPI 1174541015

Lasalle County Board Office's National Provider Identifier is 1174541015, issued on Jul 18, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Ottawa, IL. The record was last updated on Oct 20, 2025.