Organization Active NPI

Village of Elk Grove Village

  • Nursing Care Agency
  • Elk Grove Village, IL
National Provider Identifier
1114195583
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
VILLAGE OF ELK GROVE VILLAGE
Practice address
901 Wellington Ave
Elk Grove Village, IL 60007-3456
Phone
(847) 357-4240
Fax
(847) 357-4250
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Michael J Cavallini
Title
Director Health & Community Service
Phone
(847) 357-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

901 Wellington Ave
Elk Grove Village, IL 60007-3456

Mailing address

901 Wellington Ave
Elk Grove Village, IL 60007-3456
Phone (847) 357-4240

National Provider Directory

National Provider Directory

Locations

901 Wellington Ave
Elk Grove Vlg, IL 60007
Phone (847) 357-4240

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1114195583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WELLINGTON AVE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073456",
            "telephone_number": "847-357-4240",
            "fax_number": "847-357-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WELLINGTON AVE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073456",
            "telephone_number": "847-357-4240",
            "fax_number": "847-357-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ELK GROVE VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CAVALLINI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR HEALTH & COMMUNITY SERVICE",
        "authorized_official_telephone_number": "847-357-4242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.