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County Of Randolph Nursing Home
Nursing Facility/Intermediate Care Facility in Sparta, Illinois
NPI 1881734416

County Of Randolph Nursing Home is a Nursing Facility/Intermediate Care Facility based in Sparta, IL. County Of Randolph Nursing Home practices in Sparta, IL. The NPI Number for County Of Randolph Nursing Home is 1881734416 and holds a License No. 0000497 (Illinois).

The current practice location address for County Of Randolph Nursing Home is 312 W Belmont St, Sparta, IL and can be reached out via phone at 618-443-4351 and via fax at 618-443-2700.

Location: 312 W Belmont St, Sparta, IL, 62286-1709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881734416
Provider Name
County Of Randolph Nursing Home
Credential
Provider Entity Type
Organization
Address
312 W Belmont St, Sparta, IL, 62286-1709
Phone Number
618-443-4351
Fax Number
618-443-2700
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000497 05 IL
institution
Provider Business Practice Location Address Details
Address
312 W Belmont St
City
Sparta
State
Illinois
Zip
62286-1709
Phone Number
618-443-4351
Fax Number
618-443-2700
person
Provider Business Mailing Address Details
Address
312 W Belmont St
City
Sparta
State
Illinois
Zip
62286-1709
Phone Number
618-443-4351
Fax Number
618-443-2700
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0000497 (Illinois)
Definition
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.
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