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MASON CITY AREA NURSING HOME
NPI 1487645024
Skilled Nursing Facility in Mason City, IL

Active since November 02, 2005CLIA 14D0435524 · Waiver
520 N PRICE ST, MASON CITY, IL 62664(217) 482-5022(217) 482-3220 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mason City Area Nursing Home NPPES

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

MASON CITY AREA NURSING HOME (NPI 1487645024) is a healthcare organization registered as a skilled nursing facility in Mason City, Illinois and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David M Underwood, Sr. Vp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1487645024
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMASON CITY AREA NURSING HOME ASSOCIATION, INC.
Location Address520 N PRICE STMason City, IL 62664-9600
Mailing Address115 W Jefferson St, Suite 401Bloomington, IL 61701-3946 · (309) 828-4361 · Fax (309) 829-5477
Phone(217) 482-5022
Fax(217) 482-3220
Organization SubpartNo
Authorized OfficialDavid M UnderwoodSr. Vp & Cfo · (309) 823-7135
Enumeration DateNovember 2, 2005
Last NPPES UpdateMay 27, 2014
✔ NPI 1487645024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in IL · 0034256
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.
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 034256 (IL)
520 N PRICE ST, Mason City, IL 62664
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Other Names 1

Doing Business AsMason City Area Nursing Home

Other Identifiers 3

Other=========-801IL · Medicaid Oxygen Provider
Medicaid=========001IL
Medicare OSCAR/certification145616IL

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 14D0435524

Mason City Area Nursing Home · Mason City, IL
Active · expires Aug 31, 2026
CLIA Number14D0435524
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorChristine Banks
Laboratory Phone(217) 482-5022
Laboratory LocationMason City Area Nursing Home520 N Price St, Mason City, IL 62664
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

LINDA TIBBS
Occupational Therapy Assistant
520 N PRICE ST
MASON CITY, IL 62664
Mason County (217) 482-5022
BRITTANI NICOLE ELLING
Physical Therapy Assistant
520 N PRICE ST
MASON CITY, IL 62664
Mason County (217) 482-5022
ZACHARY MOORE
Speech-Language Pathologist
520 N PRICE ST
MASON CITY, IL 62664
Mason County (217) 482-5022
MASON CITY AREA NURSING HOME ASSOCIATION, INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
520 N PRICE ST
MASON CITY, IL 62664
Mason County (217) 482-5022

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 Mason City Area Nursing Home Association, Inc.'s NPI number?

The NPI number for Mason City Area Nursing Home Association, Inc. is 1487645024. It was assigned to this organization in the NPPES registry on November 2, 2005. The provider is doing business as Mason City Area Nursing Home.

Where is Mason City Area Nursing Home Association, Inc. located?

Mason City Area Nursing Home Association, Inc. is located at 520 N Price St, Mason City, IL 62664. The listed phone number is (217) 482-5022.

What is Mason City Area Nursing Home Association, Inc.'s specialty?

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

Does Mason City Area Nursing Home Association, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0435524) is associated with this NPI, valid through August 31, 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 Mason City Area Nursing Home Association, Inc. was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.