Home Bridge Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0045674 Issued in IL

Legal business name

HOME BRIDGE CENTER LLC

Practice address

1701 5TH Ave
Belvidere, IL 61008-5517

Phone

(815) 547-5451

Fax

(815) 544-4059

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. James M Palazzo

Title

Ceo

Phone

(630) 885-8101

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1285896928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 5TH AVE",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610085517",
            "telephone_number": "815-547-5451",
            "fax_number": "815-544-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 5TH AVE",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610085517",
            "telephone_number": "815-547-5451",
            "fax_number": "815-544-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BRIDGE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-885-8101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0045674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "146071",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Belvidere, IL
• Providers in Belvidere, 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 Jan 2, 2009; 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.