Healthcare Provider Details

I. General information

NPI: 1235946278
Provider Name (Legal Business Name): RHOADS TO HEALTHY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20705 N CLARK SWITCHBOARD RD
MARSHALL IL
62441-3332
US

IV. Provider business mailing address

20705 N CLARK SWITCHBOARD RD
MARSHALL IL
62441-3332
US

V. Phone/Fax

Practice location:
  • Phone: 217-808-1441
  • Fax:
Mailing address:
  • Phone: 217-808-1441
  • Fax: 810-788-6371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRANDI RHOADS
Title or Position: NP
Credential: APRN
Phone: 217-808-1441