HOOSIER CARE INC NPI 1992838916

NPI Information

  • NPI: 1992838916
  • Provider Name: HOOSIER CARE, INC
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Doing Business As: SWANN SPECIAL CARE CENTER
  • CLIA Number: 14D2201652
  • Address: 109 KENWOOD RD
    CHAMPAIGN, IL
    ZIP 61821
  • Phone: (217) 356-5164

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NPI Details

HOOSIER CARE, INC is a nursing care and pediatric skilled nursing facility in Champaign, 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, INC NPI is 1992838916. The provider is registered as an organization entity type.
The provider Is Doing Business As Swann Special Care Center.

The provider's business location address is:

109 KENWOOD RD
CHAMPAIGN, IL
ZIP 61821-905
Phone: (217) 356-5164
Fax: (217) 356-7873

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 14D2201652 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2007 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, PediatricILLINOISYes

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
1311262572001MEDICAIDILLINOIS
20698860004MEDICARE 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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