Courtyard Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COURTYARD HEALTHCARE CENTER LLC

Practice address

3601 S Harlem Ave
Berwyn, IL 60402-3219

Phone

(708) 749-4160

Fax

(708) 749-2462

NPI assigned

Aug 14, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Barak Baver

Title

Cfo

Phone

(773) 575-2222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1053543645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S HARLEM AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023219",
            "telephone_number": "708-749-4160",
            "fax_number": "708-749-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S HARLEM AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023219",
            "telephone_number": "708-749-4160",
            "fax_number": "708-749-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "BAVER",
        "authorized_official_first_name": "BARAK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-575-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John B Corso, LCSW
• Jacqueline Cortes
• Erika Marie Cortez, BA
• Katherine Cotangco, D.O.
• County of Cook School District 98
• Joelle M Covers
• Benjamin David Cowell
• Ian Byrne Creaser
• Crimson Leadership Group
• Julio C Crisostomo

• Skilled Nursing Facility in Berwyn, IL
• Providers in Berwyn, 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 Jan 18, 2012; 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.