PONTIAC HEALTHCARE AND REHAB,LLC
NPI 1083019442
Skilled Nursing Facility in Pontiac, IL

Active since October 28, 2014
300 W LOWELL AVE, PONTIAC, IL 61764(815) 842-1181(815) 842-3406 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pontiac Healthcare And Rehab,llc NPPES

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

PONTIAC HEALTHCARE AND REHAB,LLC (NPI 1083019442) is a healthcare organization registered as a skilled nursing facility in Pontiac, Illinois and active in the NPI registry since October 2014. The organization lists Bradley M. Alter, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1083019442
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePONTIAC HEALTHCARE AND REHAB,LLC
Location Address300 W LOWELL AVEPontiac, IL 61764-2614
Mailing Address300 W Lowell AvePontiac, IL 61764-2614 · (815) 842-1181 · Fax (815) 842-3406
Fax(815) 842-3406
Organization SubpartNo
Authorized OfficialBradley M. AlterManaging Member · (847) 674-4700
Enumeration DateOctober 28, 2014
Last NPPES UpdateNovember 17, 2016
NPI 1083019442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 53264
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
300 W LOWELL AVE, Pontiac, IL 61764

Other Identifiers 2

Medicaid=========001IL
Medicare OSCAR/certification146010

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
300 W LOWELL AVE
PONTIAC, IL 61764
Rehabilitation Practitioner
300 W LOWELL AVE
PONTIAC, IL 61764
Occupational Therapist
300 W LOWELL AVE
PONTIAC, IL 61764
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
300 W LOWELL AVE
PONTIAC, IL 61764

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 Pontiac Healthcare And Rehab,llc's NPI number?

The NPI number for Pontiac Healthcare And Rehab,llc is 1083019442. It was assigned to this organization in the NPPES registry on October 28, 2014.

Where is Pontiac Healthcare And Rehab,llc located?

Pontiac Healthcare And Rehab,llc is located at 300 W Lowell Ave, Pontiac, IL 61764. The listed phone number is (815) 842-1181.

What is Pontiac Healthcare And Rehab,llc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Pontiac Healthcare And Rehab,llc was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.