Organization Active NPI

Oakwood Care Associates Operating LLC

  • Skilled Nursing Facility
  • Evanston, IL
National Provider Identifier
1063417467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0041343 Issued in IL
Legal business name
OAKWOOD CARE ASSOCIATES OPERATING LLC
Practice address
1300 Oak Ave
Evanston, IL 60201-4205
Phone
(847) 869-1300
Fax
(847) 869-1378
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Winter, CPA
Title
Treasurer
Phone
(847) 674-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0041343 IL Primary

Addresses

Primary practice location

1300 Oak Ave
Evanston, IL 60201-4205

Mailing address

4100 W Pratt Ave
Lincolnwood, IL 60712-3517
Phone (847) 674-5200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063417467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W PRATT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123517",
            "telephone_number": "847-674-5200",
            "fax_number": "847-674-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OAK AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014205",
            "telephone_number": "847-869-1300",
            "fax_number": "847-869-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD CARE ASSOCIATES OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "847-674-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0041343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.