Evangelical Retirement Homes of Greater Chicago, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0023218 Issued in IL

Legal business name

EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO, INC.

Practice address

350 W Schaumburg Rd
Schaumburg, IL 60194-3464

Phone

(847) 884-5000

Fax

(847) 884-5718

NPI assigned

Aug 25, 2006

Last updated

Jan 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael A Flynn

Title

V.P./ Cfo

Phone

(847) 884-5371

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1003924721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943464",
            "telephone_number": "847-884-5000",
            "fax_number": "847-884-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943464",
            "telephone_number": "847-884-5000",
            "fax_number": "847-884-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V.P./ CFO",
        "authorized_official_telephone_number": "847-884-5371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "000023218",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0023218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000023218",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Delfina Estrada
• Kenyotta Eugene Cross, CRC, NCC, LCPC
• Sung Hyun Eun, DMD
• Evangel Home Health Services, Inc.
• Evangelical Retirement Homes of Greater Chicago (Friendship Village Home Care)
• Evangelical Retirement Homes of Greater Chicago, Inc. (Friendship Village of Schaumburg)
• Daniel Patrick Evans, D.P.M.
• Rebecca Evans, MA. CCC-SLP
• Evolve Chiropractic Schaumburg PLLC (Evolve Chiropractic Schaumburg)
• Evolve Chiropractic West Schaumburg PLLC

• Skilled Nursing Facility in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.