NPIMap

Organization Active NPI

Skokie Meadows Nursing Centers II,LLC

  • Mental Illness Intermediate Care Facility
  • Skokie, IL
National Provider Identifier
1003004565
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
0031393 Issued in IL
Legal business name
SKOKIE MEADOWS NURSING CENTERS II,LLC
Practice address
4600 Golf Rd
Skokie, IL 60076-1210
Phone
(847) 679-4161
Fax
(847) 679-3241
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Appel
Title
Member
Phone
(847) 679-4161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 0031393 IL Primary

Addresses

Primary practice location

4600 Golf Rd
Skokie, IL 60076-1210

Mailing address

4600 Golf Rd
Skokie, IL 60076-1210
Phone (847) 679-4161

Other names 1

  • SKOKIE MEADOWS BEHAVIORAL HEALTH CTR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cambridge Nursing Rehab Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1003004565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761210",
            "telephone_number": "847-679-4161",
            "fax_number": "847-679-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761210",
            "telephone_number": "847-679-4161",
            "fax_number": "847-679-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOKIE MEADOWS NURSING CENTERS II,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "APPEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-679-4161"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "0031393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKOKIE MEADOWS BEHAVIORAL HEALTH CTR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.