Sunset of Hazel Crest LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SUNSET OF HAZEL CREST LLC

Doing business as

Charter Senior Living HC

Practice address

3701 W 183Rd St
Hazel Crest, IL 60429-2512

Phone

(815) 931-2884

NPI assigned

Jan 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Anup Patel

Title

President

Phone

(815) 931-2884

Specialties & licenses 1

Addresses

Other names 1

• Charter Senior Living HC Doing business as

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610236800000",
    "number": "1144818659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 E MONTROSE AVE",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601912163",
            "telephone_number": "815-931-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 W 183RD ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292512",
            "telephone_number": "815-931-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET OF HAZEL CREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANUP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-931-2884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charter Senior Living HC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.