ILLINOIS KNIGHTS TEMPLAR HOME
NPI 1952308744
Skilled Nursing Facility in Paxton, IL

Active since July 07, 2005
450 E FULTON ST, PAXTON, IL 60957(217) 379-2116(217) 379-3000 Get Directions Write a Review

NPPES record last updated: August 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Illinois Knights Templar Home NPPES

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

ILLINOIS KNIGHTS TEMPLAR HOME (NPI 1952308744) is a healthcare organization registered as a skilled nursing facility in Paxton, Illinois and active in the NPI registry since July 2005. The organization lists David Underwood, Cfo, as its authorized official.

NPPES Registry Identity

NPI1952308744
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameILLINOIS KNIGHTS TEMPLAR HOME
Location Address450 E FULTON STPaxton, IL 60957-1716
Mailing Address450 E Fulton StPaxton, IL 60957-1716 · (217) 379-2116 · Fax (217) 379-3000
Fax(217) 379-3000
Organization SubpartNo
Authorized OfficialDavid UnderwoodCfo · (309) 823-7135
Enumeration DateJuly 7, 2005
Last NPPES UpdateAugust 7, 2017
NPI 1952308744 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 · 0010058
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.
450 E FULTON ST, Paxton, IL 60957

Other Identifiers 2

Medicare ID-Type Unspecified14-5449IL
Medicaid=========001IL

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.

Skilled Nursing Facility
450 E FULTON ST
PAXTON, IL 60957
Occupational Therapy Assistant
450 E FULTON ST
PAXTON, IL 60957
Speech-Language Pathologist
450 E FULTON ST
PAXTON, IL 60957
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
450 E FULTON ST
PAXTON, IL 60957

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 Knights Templar Home's NPI number?

The NPI number for Illinois Knights Templar Home is 1952308744. It was assigned to this organization in the NPPES registry on July 7, 2005.

Where is Illinois Knights Templar Home located?

Illinois Knights Templar Home is located at 450 E Fulton St, Paxton, IL 60957. The listed phone number is (217) 379-2116.

What is Illinois Knights Templar Home's specialty?

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

When was this NPI record last updated?

The NPPES record for Illinois Knights Templar Home was last updated on August 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.