Presence Life Connections

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PRESENCE LIFE CONNECTIONS

Practice address

400 Sullivan Rd
Aurora, IL 60506-1452

Phone

(630) 859-3700

NPI assigned

Sep 23, 2005

Organization subpart

Yes

Parent organization

PRESENCE LIFE CONNECTIONSAs reported in NPPES

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

Authorized official

Name

Michael Gordon

Title

Cfo

Phone

(708) 478-7911

Specialties & licenses 1

Addresses

Other names 1

• Presence McAuley Manor Doing business as

Part of

Presence Heritage Day Break

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205822335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18927 HICKORY CREEK DR STE 300",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488652",
            "telephone_number": "708-478-7900",
            "fax_number": "708-478-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SULLIVAN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605061452",
            "telephone_number": "630-859-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE LIFE CONNECTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESENCE LIFE CONNECTIONS",
        "enumeration_date": "2005-09-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "708-478-7911"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence McAuley Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Presence Central and Suburban Hospitals Network
• Presence Central and Suburban Hospitals Network
• Presence Central and Suburban Hospitals Network
• Presence Central and Suburban Hospitals Network
• Presence Central and Suburban Hospitals Network
• Emily Nicole Mae Price
• Kendall Price, DC
• Pearl Price
• Seretta Price
• Brittany Prigmore, LCSW

• Skilled Nursing Facility in Aurora, IL
• Providers in Aurora, 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 Jul 21, 2022; 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.