NPIMap

Organization Active NPI

Snow Valley Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Lisle, IL
National Provider Identifier
1205951514
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0046185 Issued in IL
Legal business name
SNOW VALLEY NURSING AND REHABILITATION CENTER, LLC
Practice address
5000 Lincoln Ave
Lisle, IL 60532-2117
Phone
(630) 852-5100
Fax
(630) 852-5148
NPI assigned
Mar 20, 2007
Last updated
May 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Mark Steinberg
Title
Chief Operating Officer
Phone
(847) 905-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0046185 IL Primary

Addresses

Primary practice location

5000 Lincoln Ave
Lisle, IL 60532-2117

Mailing address

5000 Lincoln Ave
Lisle, IL 60532-2117
Phone (630) 852-5100

Other identifiers 1

IdentifierTypeStateIssuer
50248OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1205951514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LINCOLN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322117",
            "telephone_number": "630-852-5100",
            "fax_number": "630-852-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LINCOLN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322117",
            "telephone_number": "630-852-5100",
            "fax_number": "630-852-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW VALLEY NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "847-905-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0046185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50248",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.