Organization Active NPI

Arbour Health Care

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1073714341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
21767 Issued in IL
Legal business name
ARBOUR HEALTH CARE
Practice address
1512 W Fargo Ave
Chicago, IL 60626-1805
Phone
(773) 465-7751
Fax
(773) 465-2104
NPI assigned
May 31, 2007
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
Debra L Patty
Title
Administrator
Phone
(773) 465-7751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 21767 IL Primary

Addresses

Primary practice location

1512 W Fargo Ave
Chicago, IL 60626-1805

Mailing address

1512 W Fargo Ave
Chicago, IL 60626-1805
Phone (773) 465-7751

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073714341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W FARGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261805",
            "telephone_number": "773-465-7751",
            "fax_number": "773-465-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 W FARGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261805",
            "telephone_number": "773-465-7751",
            "fax_number": "773-465-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOUR HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-465-7751"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "21767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, 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.