Eight Pack Management Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

5101552 Issued in IL

Legal business name

EIGHT PACK MANAGEMENT CORP.

Practice address

16051 S la Grange Rd
Orland Park, IL 60467-5605

Phone

(708) 403-2001

NPI assigned

Jun 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Correll

Title

Executive Director

Phone

(708) 403-2001

Specialties & licenses 1

Addresses

Other names 1

• Brighton Gardens of Orland Park Other name

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063614428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16051 S LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675605",
            "telephone_number": "708-403-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16051 S LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675605",
            "telephone_number": "708-403-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIGHT PACK MANAGEMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORRELL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-403-2001"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "5101552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Gardens of Orland Park",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Orland Park, IL
• Providers in Orland Park, IL by specialty
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• 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.