PRAIRIE WINDS OF URBANA
NPI 1043404106
Assisted Living Facility in Urbana, IL

Active since August 31, 2007CLIA 14D2196694 · Waiver
1905 E PRAIRIE WINDS AVE, URBANA, IL 61802(217) 344-6400(217) 344-6444 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prairie Winds Of Urbana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE WINDS OF URBANA (NPI 1043404106) is a healthcare organization registered as an assisted living facility in Urbana, Illinois and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Tim J Boisseau, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043404106
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePRAIRIE WINDS OF URBANA
Location Address1905 E PRAIRIE WINDS AVEUrbana, IL 61802-4723
Mailing Address1905 E Prairie Winds AveUrbana, IL 61802-4723 · (217) 344-6400 · Fax (217) 344-6444
Fax(217) 344-6444
Organization SubpartNo
Authorized OfficialTim J BoisseauAdministrator · (217) 344-6400
Enumeration DateAugust 31, 2007
Last NPPES UpdateJune 23, 2008
NPI 1043404106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in IL · 31040000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1905 E PRAIRIE WINDS AVE, Urbana, IL 61802

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2196694

Prairie Winds Of Urbana · Urbana, IL
Active · expires Oct 18, 2026
CLIA Number14D2196694
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorKathy Eyre
Laboratory Phone(217) 344-6400
Laboratory LocationPrairie Winds Of Urbana1905 Prairie Winds Dr, Urbana, IL 61802
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie Winds Of Urbana's NPI number?

The NPI number for Prairie Winds Of Urbana is 1043404106. It was assigned to this organization in the NPPES registry on August 31, 2007.

Where is Prairie Winds Of Urbana located?

Prairie Winds Of Urbana is located at 1905 E Prairie Winds Ave, Urbana, IL 61802. The listed phone number is (217) 344-6400.

What is Prairie Winds Of Urbana's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Prairie Winds Of Urbana hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2196694) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prairie Winds Of Urbana was last updated on June 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.