Palos Hills Extended Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0046029 Issued in IL

Legal business name

PALOS HILLS EXTENDED CARE LLC

Practice address

10426 S Roberts Rd
Palos Hills, IL 60465-1932

Phone

(708) 598-3460

Fax

(708) 598-0520

NPI assigned

Mar 6, 2007

Last updated

Jan 21, 2009By 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

Mr. Robert Kaplan, COMPTROLLER

Title

Owner

Phone

(708) 598-3460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1164552873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 S ROBERTS RD",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651932",
            "telephone_number": "708-598-3460",
            "fax_number": "708-598-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10426 S ROBERTS RD",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651932",
            "telephone_number": "708-598-3460",
            "fax_number": "708-598-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOS HILLS EXTENDED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-598-3460",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COMPTROLLER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0046029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Palos Hills, IL
• Providers in Palos Hills, 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 Jan 21, 2009; 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.