=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497608897
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARIGOLD REHABILITATION & HEALTH CARE CENTER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/17/2026
-----------------------------------------------------
Last Update Date | 02/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 275 E CARL SANDBURG DR
-----------------------------------------------------
City | GALESBURG
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61401-1249
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 309-344-1151
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 275 E CARL SANDBURG DR
-----------------------------------------------------
City | GALESBURG
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61401-1249
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 309-344-1151
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | JOSEPH C TUTERA SR.
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 309-344-1151
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------