Central Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

000019364 Issued in IL

Legal business name

CENTRAL HOME INC

Doing business as

Central Nursing Home

Practice address

2450 N Central Ave
Chicago, IL 60639-1316

Phone

(773) 889-1333

Fax

(773) 889-1516

NPI assigned

Jun 21, 2005

Last updated

May 7, 2008By 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

David Lubowsky

Title

Bookkeeper

Phone

(847) 679-7484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Nursing Home Doing business as

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1033115571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391316",
            "telephone_number": "773-889-1333",
            "fax_number": "773-889-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391316",
            "telephone_number": "773-889-1333",
            "fax_number": "773-889-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "LUBOWSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "847-679-7484"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "000019364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "1142",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer A Centore-Lober, PA C
• Central Addison Medical Group LLC
• Central Clearing Drugs Inc (central drugs)
• Central Clinic & Research Sciences Inc (Central Clinic)
• Central Clinical Labs, Inc
• Central Medical Specialists LLC (Central Medical Specialists)
• Central Medical Specialists, LLC (Central Medical Specialists)
• Central Nursing and Rehabilitation Center LLC
• Central Nursing Home LLC
• Central Nursing Home LLC

• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, 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 May 7, 2008; 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.