Grosse Pointe Manor, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0045203 Issued in IL

Legal business name

GROSSE POINTE MANOR, LLC

Practice address

6601 W Touhy Ave
Niles, IL 60714-4515

Phone

(847) 647-9875

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Marshall A Mauer

Title

Controller

Phone

(847) 679-8219

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1215914270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 MAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144515",
            "telephone_number": "847-647-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSE POINTE MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "MAUER",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "847-679-8219",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0045203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Denise Goress
• Ilda Grahovic, NP
• Queenester B Gray-Hightower, FNP
• Eric Steven Greenfield, O.D.
• Charles G Groen, MD
• Julia E Guimond
• Matilda Guri
• Gurp Care Supplies Limited
• Deanna Guthrie, LCSW
• Mary Rita Guthrie

• Skilled Nursing Facility in Niles, IL
• Providers in Niles, 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 Nov 17, 2011; 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.