Organization Active NPI

Apostolic Christian Resthaven

  • Skilled Nursing Facility
  • Elgin, IL
National Provider Identifier
1104826643
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0029892 Issued in IL
Legal business name
APOSTOLIC CHRISTIAN RESTHAVEN
Practice address
2750 W Highland Ave
Elgin, IL 60124-4202
Phone
(847) 741-4543
NPI assigned
Jul 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Mr. Matthew James Kinsinger
Title
Administrator
Phone
(847) 741-4543

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0029892 IL
Skilled Nursing Facility 314000000X 0029892 IL Primary

Addresses

Primary practice location

2750 W Highland Ave
Elgin, IL 60124-4202

Mailing address

2750 W Highland Ave
Elgin, IL 60124-4202

Other identifiers 1

IdentifierTypeStateIssuer
14A383MedicaidIL

Other names 1

  • Highland Oaks 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": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1104826643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W HIGHLAND AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601244202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W HIGHLAND AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601244202",
            "telephone_number": "847-741-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOSTOLIC CHRISTIAN RESTHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "KINSINGER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-741-4543",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0029892",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0029892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14A383",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.