Provider Demographics
NPI:1316755747
Name:NEWMAN NURSING & REHAB CARE LLC
Entity type:Organization
Organization Name:NEWMAN NURSING & REHAB CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MELVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-678-3438
Mailing Address - Street 1:418 S MEMORIAL PARK RD
Mailing Address - Street 2:
Mailing Address - City:NEWMAN
Mailing Address - State:IL
Mailing Address - Zip Code:61942-8062
Mailing Address - Country:US
Mailing Address - Phone:217-837-2421
Mailing Address - Fax:
Practice Address - Street 1:418 S MEMORIAL PARK RD
Practice Address - Street 2:
Practice Address - City:NEWMAN
Practice Address - State:IL
Practice Address - Zip Code:61942-8062
Practice Address - Country:US
Practice Address - Phone:217-837-2421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility