Organization Active NPI

Toledo SNF, LLC

  • Skilled Nursing Facility
  • Toledo, OH
National Provider Identifier
1124687124
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TOLEDO SNF, LLC
Practice address
6101 N Summit St
Toledo, OH 43611-1242
Phone
(312) 590-1055
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Yair Zuckerman
Title
Ceo
Phone
(312) 590-1055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6101 N Summit St
Toledo, OH 43611-1242

Mailing address

620 Davis St Ste 200
Evanston, IL 60201-4419

Other names 2

  • Illuminate HC Point Place Doing business as
  • SKLD Point Place Doing business as

National Provider Directory

National Provider Directory

Locations

620 Davis St
Ste 200
Evanston, IL 60201

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1124687124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 DAVIS ST STE 200",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436111242",
            "telephone_number": "312-590-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO SNF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "YAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-590-1055"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminate HC Point Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKLD Point Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.