Slovak American Charitable Association

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0025239 Issued in IL

Legal business name

SLOVAK AMERICAN CHARITABLE ASSOCIATION

Doing business as

Rolling Hills Manor

Practice address

3615 16TH St
Zion, IL 60099-1423

Phone

(847) 746-8382

Fax

(847) 746-3534

NPI assigned

Dec 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James Steven Stefo, CPA

Title

Executive Director

Phone

(847) 746-2147

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rolling Hills Manor Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1114903754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 16TH ST",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600991423",
            "telephone_number": "847-746-8382",
            "fax_number": "847-746-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 16TH ST",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600991423",
            "telephone_number": "847-746-8382",
            "fax_number": "847-746-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLOVAK AMERICAN CHARITABLE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "STEFO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-746-2147",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0025239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025239",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rolling Hills Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheridan Health Care Associate (R. Shabat, S. Aron & J. Finn, ETAL Prt.)
• Lori A. Short, FNP-BC
• Shreeji Homecare LLC
• Samata J Shroff, PA-C
• Andrew Sibenaller, DPT
• Justin Darren Smith, CSFA
• Meghann Obrien Smith
• Karen Marie Smorowski, MD
• Standish Speed
• Andrea St John

• Skilled Nursing Facility in Zion, IL
• Providers in Zion, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.