Addison Rehabilitation & Living Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ADDISON REHABILITATION & LIVING CENTER LLC

Practice address

1754 Capital Street
Elgin, IL 60124

Phone

(847) 329-4100

Fax

(847) 329-4900

NPI assigned

Sep 1, 2016

Last updated

Sep 23, 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

Stacey Van Dyke

Title

Ar Manager

Phone

(847) 329-4100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1023564606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 LONG AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773214",
            "telephone_number": "847-329-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 CAPITAL STREET",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60124",
            "telephone_number": "847-329-4100",
            "fax_number": "847-329-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON REHABILITATION & LIVING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "VAN DYKE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "847-329-4100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Elgin, IL
• Providers in Elgin, 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 Sep 23, 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.