Organization Active NPI

Halsted Terrace Nursing Center Inc

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1043385966
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
000020842 Issued in IL
Legal business name
HALSTED TERRACE NURSING CENTER INC
Practice address
10935 S Halsted St
Chicago, IL 60628
Phone
(773) 928-2000
Fax
(773) 928-9154
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Mr. James T Slesur, CPA
Title
Chief Financial Officer
Phone
(847) 763-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 000020842 IL Primary

Addresses

Primary practice location

10935 S Halsted St
Chicago, IL 60628

Mailing address

10935 S Halsted St
Chicago, IL 60628
Phone (773) 928-2000

Other names 1

  • Halsted Terrace Nursing Other name

National Provider Directory

National Provider Directory

Locations

10935 S Halsted St
Chicago, IL 60628
Phone (773) 926-2000

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1043385966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60628",
            "telephone_number": "773-928-2000",
            "fax_number": "773-928-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60628",
            "telephone_number": "773-928-2000",
            "fax_number": "773-928-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALSTED TERRACE NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "SLESUR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-763-2550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "000020842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halsted Terrace Nursing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.