ELIZABETH NURSING HOME CORP NPI 1629276225

NPI Information

  • NPI: 1629276225
  • Provider Name: ELIZABETH NURSING HOME CORP
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Address: 540 PLEASANT ST
    ELIZABETH, IL
    ZIP 61028
  • Phone: (815) 858-2275

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NPI Details

ELIZABETH NURSING HOME CORP is a nursing facility intermediate care facility in Elizabeth, IL. The provider is 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. ELIZABETH NURSING HOME CORP NPI is 1629276225. The provider is registered as an organization entity type.

The provider's business location address is:

540 PLEASANT ST
ELIZABETH, IL
ZIP 61028-508
Phone: (815) 858-2275
Fax: (815) 858-2596

The provider's authorized official is Danielle Lee Smallwood .
The authorized official title is Administrator and has the following contact phone number (815) 858-2275.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 1/6/2017.

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
1313M00000XNursing Facility/Intermediate Care Facility000008300ILLINOISYes

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=========001MEDICAIDILLINOIS

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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