Regal Health and Rehab

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0038091 Issued in IL

Legal business name

REGAL HEALTH AND REHAB

Practice address

9525 Mayfield Ave
Oak Lawn, IL 60453-2817

Phone

(708) 636-7000

Fax

(708) 422-3520

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Earl E Van Dusen

Title

Administrator

Phone

(708) 636-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Oak Lawn Respiratory and Rehabilitation Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Oak Lawn Respiratory and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Oak Lawn, IL
  • NPI 1831409879
  NPD tax ID

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1063479160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 MAYFIELD AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532817",
            "telephone_number": "708-636-7000",
            "fax_number": "708-422-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 MAYFIELD AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532817",
            "telephone_number": "708-636-7000",
            "fax_number": "708-422-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL HEALTH AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "VAN DUSEN",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-636-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0038091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0038091",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Ree, MD
• Charese Reed, DPT
• Dorial Janae Reed
• Jillian Marie Reed, MOT
• Kristina Reese-Hardy
• Elizabeth Regan, M.D.
• Regency Home Health Care, P.C.
• Nicole Reggs
• Rehab Cliinic of America Inc
• Rehabilitation &Consulting LLC

• Skilled Nursing Facility in Oak Lawn, IL
• Providers in Oak Lawn, 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 Feb 27, 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.