County of Randolph Nursing Home
County of Randolph Nursing Home is a Nursing Facility/Intermediate Care Facility in Sparta, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
312 W Belmont StSparta, IL 62286-1709 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 443-4351
Fax: (618) 443-2700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 0000497 (IL) |
|---|
Record details
| NPI number | 1881734416 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Liz Dilday — Administrator · (618) 443-4351 |
| NPI enumerated | February 6, 2007 |
| Last updated in NPPES | August 19, 2008 |
| Mailing address | 312 W Belmont St, P.O. Box 358, Sparta, IL 62286-1709 |
Clinicians affiliated with this facility
- Russell Coulter, MD Family Medicine Physician · Sparta, IL