Organization Active NPI

Park Pointe Healthcare & Rehabilitation Center,LLC

  • Skilled Nursing Facility
  • Morris, IL
National Provider Identifier
1265861603
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0052449 Issued in IL
Legal business name
PARK POINTE HEALTHCARE & REHABILITATION CENTER,LLC
Practice address
1223 Edgewater Dr
Morris, IL 60450-2504
Phone
(815) 416-6500
NPI assigned
Nov 6, 2013
Last updated
Feb 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Suzanne D Day
Title
Administrator
Phone
(815) 416-6216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0052449 IL Primary

Addresses

Primary practice location

1223 Edgewater Dr
Morris, IL 60450-2504

Mailing address

1223 Edgewater Dr
Morris, IL 60450-2504
Phone (815) 416-6500

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
14D2192234Park Pointe Healthcare1223 Edgewater Drive, Morris, IL 60450Certificate of waiverSep 7, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1265861603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 EDGEWATER DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502504",
            "telephone_number": "815-416-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 EDGEWATER DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502504",
            "telephone_number": "815-416-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK POINTE HEALTHCARE & REHABILITATION CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-416-6216"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0052449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.