B&D Hotel Corporation

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

1715281 Issued in IL

Legal business name

B&D HOTEL CORPORATION

Doing business as

Central Plaza Residential Home

Practice address

321 N Central Ave
Chicago, IL 60644-2227

Phone

(773) 626-2300

Fax

(773) 626-7647

NPI assigned

Jun 28, 2006

Last updated

Jul 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elisa Jean Shlofrock-Zusman

Title

VP Director of Finance

Phone

(847) 441-8200

Specialties & licenses 1

Addresses

Other names 1

• Central Plaza Residential Home 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

Locations

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1164450532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933045",
            "telephone_number": "847-441-8200",
            "fax_number": "847-441-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606442227",
            "telephone_number": "773-626-2300",
            "fax_number": "773-626-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&D HOTEL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "SHLOFROCK-ZUSMAN",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "VP DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "847-441-8200"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "1715281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Plaza Residential Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Intermediate Care Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Illness Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.