NPIMap

Organization Active NPI

SJV 1 Wheaton Opco LLC

Doing business as Brighton Gardens of Wheaton

  • Assisted Living Facility
  • Wheaton, IL
National Provider Identifier
1144422676
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5101636 Issued in IL
Legal business name
SJV 1 WHEATON OPCO LLC
Doing business as
Brighton Gardens of Wheaton
Practice address
831 Butterfield Rd
Wheaton, IL 60187-8674
Phone
(630) 681-1234
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Tony J. Harris
Title
Senior Reimbursement Manager
Phone
(703) 854-0830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5101636 IL Primary

Addresses

Primary practice location

831 Butterfield Rd
Wheaton, IL 60187-8674

Mailing address

831 Butterfield Rd
Wheaton, IL 60187-8674
Phone (630) 681-1234

Other names 1

  • Brighton Gardens of Wheaton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brighton Gardens of Columbia4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1144422676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 BUTTERFIELD RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878674",
            "telephone_number": "630-681-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 BUTTERFIELD RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878674",
            "telephone_number": "630-681-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJV 1 WHEATON OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "703-854-0830"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "5101636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Gardens of Wheaton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.