River Oaks and Park Forest Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RIVER OAKS AND PARK FOREST OPCO LLC

Doing business as

Green Oaks Supportive Living of River Oaks

Practice address

1370 Ring Rd
Calumet City, IL 60409-5428

Phone

(312) 382-3246

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Kevin Beard

Title

Manager

Phone

(312) 382-3231

Specialties & licenses 1

Addresses

Other names 1

• Green Oaks Supportive Living of River Oaks Doing business as

Tax ID family

Green Oaks Supportive Living of Park Forest2 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.

• River Oaks and Park Forest Opco LLC

  dba Green Oaks Supportive Living of Park Forest

  • Assisted Living Facility
  • Park Forest, IL
  • NPI 1740903590
  NPD tax ID

Locations

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1023731874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611410",
            "telephone_number": "312-382-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 RING RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095428",
            "telephone_number": "312-382-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OAKS AND PARK FOREST OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-382-3231"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Oaks Supportive Living of River Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Carl Redmond, PSYD. M.A., CAADC
• Tiraney Redmond
• Sujithra Reprakash, PA-C
• Adalberto Oscar Reyes Jr., ATC
• Nwanneka Richardson, M.B.B.S.
• Tammara Elise Roberson-Green, PT
• Laci Robinson
• Michael Roe, LCSW, LCPC
• Patricia Lynn Roe, M.H.S., CCC, SLP/L
• Angela Rogers

• Assisted Living Facility in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.