Salem Village Nursing and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

001 Issued in IL

Legal business name

SALEM VILLAGE NURSING AND REHABILITATION CENTER LLC

Doing business as

Salem Village Nursing and Rehabilitation Center LLC

Practice address

1314 Rowell Ave
Joliet, IL 60433-2866

Phone

(815) 727-5451

Fax

(815) 727-2798

NPI assigned

Sep 29, 2005

Last updated

Jul 21, 2022By 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

Barbara J Smith

Title

Controller

Phone

(314) 963-7570

Specialties & licenses 1

Addresses

Other names 1

• Salem Village Nursing and Rehabilitation Center LLC Doing business as

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013904739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 ROWELL AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332866",
            "telephone_number": "815-727-5451",
            "fax_number": "815-727-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 ROWELL AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332866",
            "telephone_number": "815-727-5451",
            "fax_number": "815-727-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM VILLAGE NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "314-963-7570"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Village Nursing and Rehabilitation Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Joliet, IL
• Providers in Joliet, 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 Jul 21, 2022; 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.