The Renaissance at Hillside, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE RENAISSANCE AT HILLSIDE, INC

Doing business as

RENAISSANCE AT HILLSIDE

Practice address

4600 Frontage Rd
Hillside, IL 60162-1761

Phone

(708) 544-9933

Fax

(708) 544-9966

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Reuven Levitin

Title

Patient Accounts Manager

Phone

(847) 745-6240

Specialties & licenses 3

Addresses

Other names 1

• RENAISSANCE AT HILLSIDE Doing business as

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1184795312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121810",
            "telephone_number": "847-933-2600",
            "fax_number": "847-933-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 FRONTAGE RD",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621761",
            "telephone_number": "708-544-9933",
            "fax_number": "708-544-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENAISSANCE AT HILLSIDE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "LEVITIN",
        "authorized_official_first_name": "REUVEN",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "847-745-6240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "IL",
            "license": "5328130001",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "5328130001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENAISSANCE AT HILLSIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Staiert, MA, ATC, PES
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• Tori Takata
• The Renaissance at Hillside, Inc
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• Crystal Trinidad, FNP
• Trusting Hands Home Health Care LLC
• United RX LLC

• Skilled Nursing Facility in Hillside, IL
• Providers in Hillside, 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 Sep 14, 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.