Organization Active NPI

Rosewood Care Center, Inc of Joliet

  • Skilled Nursing Facility
  • Joliet, IL
National Provider Identifier
1073518924
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0036798 Issued in IL
Legal business name
ROSEWOOD CARE CENTER, INC OF JOLIET
Practice address
3401 Hennepin Dr
Joliet, IL 60431-1080
Phone
(815) 436-5900
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Larry Vander Maten
Title
President
Phone
(314) 994-9070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0036798 IL Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 1303720001 IL

Addresses

Primary practice location

3401 Hennepin Dr
Joliet, IL 60431-1080

Mailing address

11701 Borman Dr
Ste 315
Saint Louis, MO 63146-4194
Phone (314) 994-9070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1073518924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 BORMAN DR",
            "address_2": "STE 315",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464194",
            "telephone_number": "314-994-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 HENNEPIN DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604311080",
            "telephone_number": "815-436-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD CARE CENTER, INC OF JOLIET",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VANDER MATEN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-994-9070"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0036798",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "1303720001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.