MR. SCOTT E STOUT (NPI# 1952874075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952874075 |
| Entity Type | Individual |
| Full Name | MR. SCOTT E STOUT |
| Credential | LNHA |
| Practice Address |
410 Nw 3rd St Casey IL 62420-1014 |
| Mailing Address |
215 E Locust St Harrisburg IL 62946-1504 |
| Practice Telephone | 2179324081 |
| Practice Fax Number | 2179324922 |
| Mailing Telephone | 6182948696 |
| Mailing Fax Number | 6182948699 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 0002923 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICAID ICF/DD CERTIFICATION | 14E422 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043729601 | Scott Stout | Nurse Practitioner | 3952 E 42nd St Ste Z, Odessa, TX 79762-5942 | 2017-09-27 |
| 1942385893 | Scott Alexander Stout | Physician Assistant | 1125 Deer Lodge Hwy, Clarkrange, TN 38553-5027 | 2006-10-26 |
| Street Address |
410 NW 3RD ST |
| City | CASEY |
| State | IL |
| Zip Code | 62420-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322296 | Champion Fitness, Inc | Clinic/Center | 1300 E. Us Highway 40, Casey, IL 62420 | 2016-09-01 |
| 1801089263 | Cory D Hanley | Physical Therapist | 1300 E Us Highway 40, Casey, IL 62420 | 2007-08-20 |
| 1528186665 | Sarah Bush Lincoln Health Center | Clinic/Center | 934 North Route 49, Casey, IL 62420 | 2007-03-27 |
| 1861499006 | Heartland Manor Inc Nursing Center | Skilled Nursing Facility | 410 N W Third Street, Casey, IL 62420 | 2005-07-01 |
| 1386124675 | Daniel Yi-li Wen | Dentist | 1400 E Main St, Casey, IL 62420 | 2018-08-16 |
| 1831228600 | Patrick M Niebrugge | Optometrist | 1279 E Us Hwy 40, Casey, IL 62420-0528 | 2007-03-05 |
| 1962696617 | Patrick Niebrugge Od | Durable Medical Equipment & Medical Supplies | 1279 E Us Hwy 40, Casey, IL 62420-0528 | 2007-09-05 |
| 1891787529 | Robert Lee Dougherty | Physician Assistant | 412 Nw 3rd St, Casey, IL 62420-1014 | 2005-08-18 |
| 1538166137 | Moore Family Stores Inc. | Pharmacy | 202 W Edgar Ave, Casey, IL 62420-1024 | 2005-06-28 |
| 1457776304 | Bobbie Seaney | Licensed Practical Nurse | 5 W Jackson Ave, Casey, IL 62420-1360 | 2014-03-02 |
| Find all providers in zip 62420 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| 1861499006 | Heartland Manor Inc Nursing Center | Skilled Nursing Facility | 410 N W Third Street, Casey, IL 62420 | 2005-07-01 |
| 1275166423 | Casey Hco, LLC | Skilled Nursing Facility | 100 Ne 15th St, Casey, IL 62420-2152 | 2020-02-17 |
| 1093771800 | Casey Hco, LLC | Skilled Nursing Facility | 100 Ne 15th St, Casey, IL 62420-2152 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413537 | Citadel of Glenview LLC | Skilled Nursing Facility | 1700 E Lake Ave, Glenview, IL 60025-2003 | 2020-09-28 |
| 1598379075 | Patient Builders Marketing | Skilled Nursing Facility | 800 W Army Trail Rd, Carol Stream, IL 60188-9040 | 2020-09-02 |
| 1730790817 | Ih Fox Valley Opco, LLC | Skilled Nursing Facility | 4020 E New York St, Aurora, IL 60504-4416 | 2020-08-12 |
| 1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
| 1487273330 | Residential Alternatives of Illinois, Inc | Skilled Nursing Facility | 2203 Flagg Rd, Rochelle, IL 61068 | 2020-04-10 |
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1114550381 | Rosiclare Hco, LLC | Skilled Nursing Facility | 55 Ferrell Rd, Rosiclare, IL 62982-1006 | 2020-02-17 |
| 1225672033 | All Ways Caring Services, Inc. | Skilled Nursing Facility | 301 N Neil St Ste 301, Champaign, IL 61820-3167 | 2019-11-05 |
| 1134696966 | Naperville Manor Hrc LLC | Skilled Nursing Facility | 200 Martin Ave, Naperville, IL 60540-6516 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.