MEDICARE: HILLSBORO REHABILITATION AND HEALTH CARE CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	0031674	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356341226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLSBORO REHABILITATION AND HEALTH CARE CENTER, LLC

Provider Business Mailing Address
First Line	:	1300 E TREMONT ST
Second Line	:
City	:	HILLSBORO
State	:	IL
Zip	:	62049-1913
Country	:	US
Telephone Number	:	217-532-6191
Fax Number	:	217-532-6194

Provider Business Practice Location Address
First Line	:	1300 E TREMONT ST
Second Line	:
City	:	HILLSBORO
State	:	IL
Zip	:	62049-1913
Country	:	US
Telephone Number	:	217-532-6191
Fax Number	:	217-532-6194

Authorized Official
Title or Position	:	PRESIDENT, CEO
Name	:	JOSEPH C TUTERA
Credential	:
Telephone Number	:	816-444-0900

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	04/23/2021

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