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ILLINOIS VETERANS HOME AT LASALLE
NPI 1942367453
Residential Treatment Facility, Physical Disabilities in La Salle, IL

Active since January 03, 2007CLIA 14D1021735 · Waiver
1015 OCONOR AVE, LA SALLE, IL 61301(815) 223-0303(815) 223-5815 Get Directions Write a Review

NPPES record last updated: May 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Illinois Veterans Home At Lasalle NPPES

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

ILLINOIS VETERANS HOME AT LASALLE (NPI 1942367453) is a healthcare organization registered as a residential treatment facility, physical disabilities in La Salle, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists John G. Koehler, Administrator, as its authorized official.

NPPES Registry Identity

NPI1942367453
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameILLINOIS VETERANS HOME AT LASALLE
Location Address1015 OCONOR AVELa Salle, IL 61301-1216
Mailing Address1015 Oconor AveLa Salle, IL 61301-1216 · (217) 222-9487 · Fax (217) 222-8578
Phone(815) 223-0303
Fax(815) 223-5815
Organization SubpartNo
Authorized OfficialJohn G. KoehlerAdministrator · (815) 223-0303
Enumeration DateJanuary 3, 2007
Last NPPES UpdateMay 24, 2013
✔ NPI 1942367453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in IL · 44115
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License 44115 (IL)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1015 OCONOR AVE, La Salle, IL 61301
Open in Google Maps ↗

Other Identifiers 4

Medicare NSC0636590001
Medicare PIN333890
Other05032039Bcbs
Medicare PINDC8121

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 14D1021735

Illinois Veterans' Home At Lasalle · La Salle, IL
Active · expires Jan 29, 2028
CLIA Number14D1021735
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorDena Robbins
Laboratory Phone(815) 223-0303
Laboratory LocationIllinois Veterans' Home At Lasalle1015 O'connor Ave, La Salle, IL 61301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

ASHWIN YEGNESWAR
Home Health
1015 OCONOR AVE
LA SALLE, IL 61301
Lasalle County (815) 223-0303
KATHERINE ANN SCHICKEDANZ COTA
Occupational Therapist
1015 OCONOR AVE
LA SALLE, IL 61301
Lasalle County (815) 223-0303
KAREN R. DUNNE M.S.,CCC
Speech-Language Pathologist
1015 OCONOR AVE
LA SALLE, IL 61301
Lasalle County (815) 223-0303
HANNAH TEGTMEYER OTR/L
Occupational Therapist
1015 OCONOR AVE
LA SALLE, IL 61301
Lasalle County (030) 381-5223
SHANNON JENKINS-SOLOMON
Physical Therapy Assistant
1015 OCONOR AVE
LA SALLE, IL 61301
Lasalle County (815) 223-0303
ALAN J BLOMQUIST LCSW
Social Worker (Clinical)
1015 OCONOR AVE
LA SALLE, IL 61301
Lasalle County (815) 223-0303
BREE N CARLSON MS. CF-SLP
Speech-Language Pathologist
1015 OCONOR AVE
LA SALLE, IL 61301
Lasalle County (815) 223-0303
MRS. KRISTIN ANN WACKERLIN
Speech-Language Pathologist
1015 OCONOR AVE
LA SALLE, IL 61301
Lasalle County (815) 830-0718

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 Illinois Veterans Home At Lasalle's NPI number?

The NPI number for Illinois Veterans Home At Lasalle is 1942367453. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Illinois Veterans Home At Lasalle located?

Illinois Veterans Home At Lasalle is located at 1015 Oconor Ave, La Salle, IL 61301. The listed phone number is (815) 223-0303.

What is Illinois Veterans Home At Lasalle's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Does Illinois Veterans Home At Lasalle hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1021735) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Illinois Veterans Home At Lasalle was last updated on May 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.