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MATTOON ESTATES NORTH, LLC
NPI 1184820748
Point of Service in Mattoon, IL

Active since June 21, 2007
1920 BROOKSTONE LN, MATTOON, IL 61938(217) 235-5881(217) 235-5878 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mattoon Estates North, Llc NPPES

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

MATTOON ESTATES NORTH, LLC (NPI 1184820748) is a healthcare organization registered as a point of service in Mattoon, Illinois and active in the NPI registry since June 2007. The organization lists John Holtz, Controller, as its authorized official.

NPPES Registry Identity

NPI1184820748
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameMATTOON ESTATES NORTH, LLC
Location Address1920 BROOKSTONE LNMattoon, IL 61938-6105
Mailing Address78 Centennial LoopEugene, OR 97401-7900 · (541) 747-3373 · Fax (541) 747-0673
Phone(217) 235-5881
Fax(217) 235-5878
Organization SubpartNo
Authorized OfficialJohn HoltzController · (541) 747-3373
Enumeration DateJune 21, 2007
Last NPPES UpdateMay 13, 2008
✔ NPI 1184820748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
1920 BROOKSTONE LN, Mattoon, IL 61938
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Other Providers at the Same Location NPPES 3

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

WC- MATTOON NORTH OPS, LLC
Assisted Living Facility
1920 BROOKSTONE LN
MATTOON, IL 61938
Coles County (217) 235-5881
MIDWEST CARE MATTOON NORTH LLC
Point of Service
1920 BROOKSTONE LN
MATTOON, IL 61938
Coles County (217) 235-5881
BROOKSTONE ESTATES OF MATTOON NORTH
Assisted Living Facility
1920 BROOKSTONE LN
MATTOON, IL 61938
Coles County (812) 898-4043

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 Mattoon Estates North, LLC's NPI number?

The NPI number for Mattoon Estates North, LLC is 1184820748. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is Mattoon Estates North, LLC located?

Mattoon Estates North, LLC is located at 1920 Brookstone Ln, Mattoon, IL 61938. The listed phone number is (217) 235-5881.

What is Mattoon Estates North, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Mattoon Estates North, LLC was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.