Organization Active NPI

Kindred THC Chicago, LLC

  • Long Term Care Hospital
  • Sycamore, IL
National Provider Identifier
1083862452
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
KINDRED THC CHICAGO, LLC
Doing business as
d/b/a Kindred Hospital - Sycamore
Practice address
225 Edward St
Sycamore, IL 60178
Phone
(815) 895-2144
Fax
(815) 895-7057
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Terrance K Dillon
Title
Assistant Secretary
Phone
(502) 596-7220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

225 Edward St
Sycamore, IL 60178

Mailing address

225 Edward St
Sycamore, IL 60178-2137
Phone (815) 895-2144

Other names 1

  • d/b/a Kindred Hospital - Sycamore Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1083862452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 EDWARD ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782137",
            "telephone_number": "815-895-2144",
            "fax_number": "815-895-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EDWARD ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "60178",
            "telephone_number": "815-895-2144",
            "fax_number": "815-895-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED THC CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a Kindred Hospital - Sycamore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "d/b/a Kindred Hospital - Sycamore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

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