Laura Booker

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Practice address

12525 Renaissance Cir
Homer Glen, IL 60491-5896

Phone

(708) 590-5050

NPI assigned

Jan 22, 2015

Last updated

Jan 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marianjoy at Providence Victorian Village

  • Skilled Nursing Facility
  • Homer Glen, IL
  • NPI 1174912562
  Authorized official Same address or phone

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1104215573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 RENAISSANCE CIR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604915896",
            "telephone_number": "708-590-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 RENAISSANCE CIR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604915896",
            "telephone_number": "708-590-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyond Healing - a Counseling, Wellness & Personal Growth Center (Beyond Healing Counseling)
• Big Wishes Therapy Services
• Kennedy Claire Blackwell
• Janna Boger, RN
• Mary Kathryn Bombard, MA, NCC, LCPC
• Booth Orthodontics LLC
• Booth Orthodontics of Homer Glen LLP
• Barry E Booth, D.D.S., M.S.
• Evan Booth, DDS
• Ryan Elston Booth, DDS

• Nursing Home Administrator in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Nursing Home Administrator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.