Living Centers INC
Skilled Nursing Facility in Decatur, IL. Organization (NPI-2).
NPI number1790782308
StatusActive
Last updated in NPPESApr 20, 2008
Details
- NPI
- 1790782308
- Entity type
- Organization (NPI-2)
- Legal business name
- Living Centers INC
- Organization subpart
- No
- Enumeration date
- Jun 29, 2005
- Last updated
- Apr 20, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 0036574 | IL | Yes |
Other names
- Imboden Creek Living Center (Doing Business As)
Practice location
180 W Imboden DrDecatur, IL 62521-5238
Phone 217-422-7150 · Fax 217-422-9418
Mailing address
180 W Imboden DrDecatur, IL 62521-5238
Phone 217-422-7150 · Fax 217-422-9418
Authorized official
Rhonda Luther
Coo
2174227150
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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