Healthcare Provider Details

I. General information

NPI: 1881009660
Provider Name (Legal Business Name): ARBA CARE CENTER OF BLOOMINGTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 CALHOUN ST
BLOOMINGTON IL
61701-1514
US

IV. Provider business mailing address

134 N MCLEAN BLVD
ELGIN IL
60123-5169
US

V. Phone/Fax

Practice location:
  • Phone: 309-827-6046
  • Fax:
Mailing address:
  • Phone: 847-742-8822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CRAIG FRANK
Title or Position: VICE PRESIDENT
Credential:
Phone: 847-742-8822