NPIMap

Organization Active NPI

Ballard Nursing Center, Inc.

  • Skilled Nursing Facility
  • Des Plaines, IL
National Provider Identifier
1033166160
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0023093 Issued in IL
Legal business name
BALLARD NURSING CENTER, INC.
Practice address
9300 W Ballard Rd
Des Plaines, IL 60016-4904
Phone
(847) 294-2300
Fax
(847) 299-4012
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Mr. Mark Pick
Title
Vice President
Phone
(847) 294-2308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0023093 IL Primary

Addresses

Primary practice location

9300 W Ballard Rd
Des Plaines, IL 60016-4904

Mailing address

9300 W Ballard Rd
Des Plaines, IL 60016-4904
Phone (847) 294-2300

Other identifiers 1

IdentifierTypeStateIssuer
733OtherILBLUE CROSS NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Presence Senior Services Chicagoland3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1033166160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 W BALLARD RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164904",
            "telephone_number": "847-294-2300",
            "fax_number": "847-299-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 W BALLARD RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164904",
            "telephone_number": "847-294-2300",
            "fax_number": "847-299-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "PICK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-294-2308",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0023093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "733",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.