HOOSIER CARE NPI 1578676391

NPI Information

  • NPI: 1578676391
  • Provider Name: HOOSIER CARE
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Doing Business As: WALTER LAWSON CHILDREN'S HOME
  • CLIA Number: 14D2201648
  • Address: 1820 WALTER LAWSON DR
    LOVES PARK, IL
    ZIP 61111
  • Phone: (815) 633-6636

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NPI Details

HOOSIER CARE is a nursing care and pediatric skilled nursing facility in Loves Park, IL. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. HOOSIER CARE NPI is 1578676391. The provider is registered as an organization entity type.
The provider Is Doing Business As Walter Lawson Children's Home.

The provider's business location address is:

1820 WALTER LAWSON DR
LOVES PARK, IL
ZIP 61111-757
Phone: (815) 633-6636
Fax: (815) 633-6387

The provider's authorized official is Brenda Campbell .
The authorized official title is Ar Manager and has the following contact phone number (859) 255-0075.

The CLIA number assigned to this NPI record is 14D2201648 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 7/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric0035469ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========003MEDICAIDILLINOIS
20698860003MEDICARE NSCILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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