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SHARON HEALTH CARE PINES INC
NPI 1699703074
Nursing Facility/Intermediate Care Facility in Peoria, IL

Active since June 28, 2006CLIA 14D0680609 · Waiver
3614 N ROCHELLE, PEORIA, IL 61604(309) 688-0350(847) 688-4564 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sharon Health Care Pines Inc NPPES

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

SHARON HEALTH CARE PINES INC (NPI 1699703074) is a healthcare organization registered as a nursing facility/intermediate care facility in Peoria, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Richard Dean Duros, Cfo Coo, as its authorized official.

NPPES Registry Identity

NPI1699703074
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameSHARON HEALTH CARE PINES INC
Location Address3614 N ROCHELLEPeoria, IL 61604-1039
Mailing Address465 Central Ave, Suite 100Northfield, IL 60093-3045 · (847) 441-8200 · Fax (847) 441-0800
Phone(309) 688-0350
Fax(847) 688-4564
Organization SubpartNo
Authorized OfficialRichard Dean DurosCfo Coo · (847) 441-8200
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 21, 2016
✔ NPI 1699703074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in IL · 1719828
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
3614 N ROCHELLE, Peoria, IL 61604
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Other Identifiers 1

Medicaid=========001IL

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 14D0680609

Sharon Health Care Pines Inc · Peoria, IL
Active · expires Nov 26, 2026
CLIA Number14D0680609
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 27, 2024
Certificate Expiration DateNovember 26, 2026
Laboratory DirectorRandall Bauer
Laboratory Phone(309) 688-0350
Laboratory LocationSharon Health Care Pines Inc3614 N Rochelle, Peoria, IL 61604
CLIA data matches this NPI record on: Address 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 Sharon Health Care Pines Inc's NPI number?

The NPI number for Sharon Health Care Pines Inc is 1699703074. It was assigned to this organization in the NPPES registry on June 28, 2006.

Where is Sharon Health Care Pines Inc located?

Sharon Health Care Pines Inc is located at 3614 N Rochelle, Peoria, IL 61604. The listed phone number is (309) 688-0350.

What is Sharon Health Care Pines Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Sharon Health Care Pines Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0680609) is associated with this NPI, valid through November 26, 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 Sharon Health Care Pines Inc was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.