OrganizationActive
Illinois Veterans Home at Lasalle
NPI 1942367453 · Physical Disabilities Residential Treatment Facility · La Salle, IL
Provider details
- NPI number
- 1942367453
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- John Koehler, Administrator(815) 223-0303
Specialties & taxonomies
Residential Treatment Facilities
Suppliers
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
1015 Oconor Ave
La Salle, IL 61301-1216
Phone: (815) 223-0303
Fax: (815) 223-5815
Street-level locationGet directions
Mailing address
1015 Oconor Ave
La Salle, IL 61301-1216
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2013-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.