MANOR COURT OF PRINCETON
NPI 1083692420
Skilled Nursing Facility in Princeton, IL

Active since January 05, 2006CLIA 14D1033625 · Waiver
140 N 6TH ST, PRINCETON, IL 61356(815) 875-6600(815) 875-6005 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manor Court Of Princeton NPPES

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

MANOR COURT OF PRINCETON (NPI 1083692420) is a healthcare organization registered as a skilled nursing facility in Princeton, Illinois and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Ronald J Wilson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083692420
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameRESIDENTIAL ALTERNATIVES OF ILLINOIS INC
Location Address140 N 6TH STPrinceton, IL 61356-1878
Mailing Address140 N 6th StPrinceton, IL 61356-1878 · (815) 875-6600 · Fax (815) 875-6005
Fax(815) 875-6005
Organization SubpartNo
Authorized OfficialRonald J WilsonCfo · (309) 343-1550
Enumeration DateJanuary 5, 2006
Last NPPES UpdateApril 28, 2010
NPI 1083692420 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 · 0047324
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.
140 N 6TH ST, Princeton, IL 61356

Other Names 1

Doing Business AsManor Court Of Princeton

Other Identifiers 2

Medicare OSCAR/certification146083
Medicaid371079626056IL

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 14D1033625

Manor Court Of Princeton · Princeton, IL
Active · expires Nov 11, 2026
CLIA Number14D1033625
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorMatt K. Hails
Laboratory Phone(815) 875-6600
Laboratory LocationManor Court Of Princeton140 N Sixth St, Princeton, IL 61356
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 Residential Alternatives Of Illinois Inc's NPI number?

The NPI number for Residential Alternatives Of Illinois Inc is 1083692420. It was assigned to this organization in the NPPES registry on January 5, 2006. The provider is doing business as Manor Court Of Princeton.

Where is Residential Alternatives Of Illinois Inc located?

Residential Alternatives Of Illinois Inc is located at 140 N 6th St, Princeton, IL 61356. The listed phone number is (815) 875-6600.

What is Residential Alternatives Of Illinois Inc's specialty?

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

Does Residential Alternatives Of Illinois Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1033625) is associated with this NPI, valid through November 11, 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 Residential Alternatives Of Illinois Inc was last updated on April 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.