Organization Active NPI

Landmark of Des Plaines Rehabilitation and Nursing Center LLC

  • Skilled Nursing Facility
  • Des Plaines, IL
National Provider Identifier
1215449459
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LANDMARK OF DES PLAINES REHABILITATION AND NURSING CENTER LLC
Practice address
9300 W Ballard Rd
Des Plaines, IL 60016-4904
Phone
(847) 294-2300
Fax
(847) 299-4012
NPI assigned
Oct 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Jeffrey Sax
Title
MGR
Phone
(269) 281-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9300 W Ballard Rd
Des Plaines, IL 60016-4904

Mailing address

6101 Nimtz Pkwy
South Bend, IN 46628-6111
Phone (269) 281-4200

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0663023Landmark of Des Plaines9300 Ballard Rd, Des Plaines, IL 60016Certificate of waiverJun 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1215449459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 NIMTZ PKWY",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466286111",
            "telephone_number": "269-281-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 W BALLARD RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164904",
            "telephone_number": "847-294-2300",
            "fax_number": "847-299-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK OF DES PLAINES REHABILITATION AND NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "SAX",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "269-281-4200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.