What is Backroad Health Care Inc's NPI number?

Backroad Health Care Inc's National Provider Identifier (NPI) is 1134582018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Backroad Health Care Inc?

Backroad Health Care Inc is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).

Where is Backroad Health Care Inc located?

Backroad Health Care Inc's practice location on file with NPPES is 211 S Perrine Ave, Centralia, IL 62801-3635.

What is Backroad Health Care Inc's phone number?

The practice phone number listed in the NPPES registry for Backroad Health Care Inc is (618) 419-0011.

Who is the authorized official for Backroad Health Care Inc?

The authorized official listed on Backroad Health Care Inc's NPPES record is Paul Havrilka, Fnp/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Backroad Health Care Inc's NPI active?

Yes — Backroad Health Care Inc's NPI (1134582018) is active in the NPPES registry as of the last update on 2019-03-18.

OrganizationActive

Backroad Health Care Inc

NPI 1134582018 · Family Nurse Practitioner · Centralia, IL

Backroad Health Care Inc is a Family Nurse Practitioner organization in Centralia, IL (NPI 1134582018).

Provider details

NPI number: 1134582018
Entity type: Organization
Primary specialty: Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Organization subpart: No
Authorized official: Paul Havrilka, Fnp/Owner(618) 419-0011

Practice location

211 S Perrine Ave

Centralia, IL 62801-3635

Phone: (618) 419-0011

Fax: (888) 980-2931

Street-level locationGet directions

More IL providers

Mailing address

314 S Poplar St Unit 864

Centralia, IL 62801-0848

Specialties & taxonomies

Family Nurse PractitionerPrimary363LF0000X
Physician Assistants & Advanced Practice Nursing Providers

Additional practice locations (1)

7825a E Grant Rd
Walnut Hill, IL 62893-1613
Phone: (618) 545-0707
Fax: (888) 802-1633

Profile Score

Detailed profile(77/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
2 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2016-03-30
Last updated: 2019-03-18

Frequently asked questions

What is Backroad Health Care Inc's NPI number?: Backroad Health Care Inc's National Provider Identifier (NPI) is 1134582018, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Backroad Health Care Inc?: Backroad Health Care Inc is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
Where is Backroad Health Care Inc located?: Backroad Health Care Inc's practice location on file with NPPES is 211 S Perrine Ave, Centralia, IL 62801-3635.
What is Backroad Health Care Inc's phone number?: The practice phone number listed in the NPPES registry for Backroad Health Care Inc is (618) 419-0011.
Who is the authorized official for Backroad Health Care Inc?: The authorized official listed on Backroad Health Care Inc's NPPES record is Paul Havrilka, Fnp/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Backroad Health Care Inc's NPI active?: Yes — Backroad Health Care Inc's NPI (1134582018) is active in the NPPES registry as of the last update on 2019-03-18.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Frequently asked questions