The Terrace NH Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0043943 Issued in SC

Legal business name

THE TERRACE NH OPERATOR LLC

Practice address

1615 Sunset Ave
Waukegan, IL 60087-3810

Phone

(847) 244-6700

Fax

(847) 244-7925

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Avrum Weinfeld

Title

Cfo

Phone

(847) 674-5795

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• the terrace Former legal business name

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1184719197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6865 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124611",
            "telephone_number": "847-674-5795",
            "fax_number": "847-674-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SUNSET AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600873810",
            "telephone_number": "847-244-6700",
            "fax_number": "847-244-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TERRACE NH OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "WEINFELD",
        "authorized_official_first_name": "AVRUM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-674-5795",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "0043943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364228300001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the terrace",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vanessa Ellen Tello, RN
• Nong Thao
• The Illinois Medical Assistance Treatment Program LLC
• The Josselyn Center NFP
• The Josselyn Center NFP
• The Terrace Nursing Home,L.L.C.
• The Thresholds
• Natasha Lee Thern, MD
• Amanda Sue Thomas
• Jazmine Thomas

• Skilled Nursing Facility in Waukegan, IL
• Providers in Waukegan, 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 Aug 8, 2007; 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.