Organization Active NPI

Person Centered Senior Solutions

  • Gerontology Occupational Therapist
  • Buffalo Grove, IL
National Provider Identifier
1104463058
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
Legal business name
PERSON CENTERED SENIOR SOLUTIONS
Practice address
1513 Anderson LN
Buffalo Grove, IL 60089-1206
Phone
(847) 495-8313
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Rhonda Leigh Guzman, OTNPI 1821294224
Title
Consultant
Phone
(847) 347-2474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XG0600X Primary

Addresses

Primary practice location

1513 Anderson LN
Buffalo Grove, IL 60089-1206

Mailing address

1513 Anderson LN
Buffalo Grove, IL 60089-1206
Phone (847) 495-8313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200108001284 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759716350 Receives reassigned benefits from 1 practitioner
Practice locations: Buffalo Grove, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1104463058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 ANDERSON LN",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891206",
            "telephone_number": "847-495-8313",
            "fax_number": "847-478-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 ANDERSON LN",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891206",
            "telephone_number": "847-495-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSON CENTERED SENIOR SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "847-347-2474",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.