Organization · Type 2 NPI

County of Randolph Nursing Home

Nursing Facility/Intermediate Care Facility · Sparta, IL

NPI number 1881734416 Active

Practice location

312 W Belmont St
Sparta, IL 62286-1709

Fax (618) 443-2700

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X0000497 (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 1881734416

County of Randolph Nursing Home's National Provider Identifier is 1881734416, issued on Feb 6, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Sparta, IL. The record was last updated on Aug 19, 2008.