Wauconda Healthcare & Rehabilitation Centre, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

000044859 Issued in IL

Legal business name

WAUCONDA HEALTHCARE & REHABILITATION CENTRE, LLC

Practice address

176 Thomas CT
Wauconda, IL 60084-2451

Phone

(847) 526-5551

Fax

(847) 526-7549

NPI assigned

Sep 21, 2005

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Vicere

Title

V.P. Finance

Phone

(773) 604-4416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1265428650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 THOMAS CT",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600842451",
            "telephone_number": "847-526-5551",
            "fax_number": "847-526-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 THOMAS CT",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600842451",
            "telephone_number": "847-526-5551",
            "fax_number": "847-526-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUCONDA HEALTHCARE & REHABILITATION CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VICERE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "V.P. FINANCE",
        "authorized_official_telephone_number": "773-604-4416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "000044859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ahmad Wehbi
• Kelly Elizabeth Weller

• Skilled Nursing Facility in Wauconda, IL
• Providers in Wauconda, 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 Apr 20, 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.