Organization Active NPI

Rosewood Care Center, Inc of Northbrook

  • Skilled Nursing Facility
  • Northbrook, IL
National Provider Identifier
1184629909
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0042341 Issued in IL
Legal business name
ROSEWOOD CARE CENTER, INC OF NORTHBROOK
Practice address
4101 Lake Cook Rd
Northbrook, IL 60062-1112
Phone
(847) 562-1770
NPI assigned
Jun 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Michael Brady
Title
Secretary
Phone
(314) 994-9070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0042341 IL Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 1303570001 IL

Addresses

Primary practice location

4101 Lake Cook Rd
Northbrook, IL 60062-1112

Mailing address

11701 Borman Dr
Ste 315
Saint Louis, MO 63146-4194
Phone (314) 994-9070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1184629909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 BORMAN DR",
            "address_2": "STE 315",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464194",
            "telephone_number": "314-994-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 LAKE COOK RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621112",
            "telephone_number": "847-562-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEWOOD CARE CENTER, INC OF NORTHBROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "314-994-9070"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0042341",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "1303570001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.