Organization Active NPI

Greenwood Care, Inc.

  • Mental Illness Intermediate Care Facility
  • Evanston, IL
National Provider Identifier
1295730679
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
0031971 Issued in IL
Legal business name
GREENWOOD CARE, INC.
Practice address
1406 Chicago Ave
Evanston, IL 60201-4727
Phone
(847) 328-6503
Fax
(847) 869-4878
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Winter, CPA
Title
Treasurer
Phone
(847) 674-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 0031971 IL Primary

Addresses

Primary practice location

1406 Chicago Ave
Evanston, IL 60201-4727

Mailing address

4100 W Pratt Ave
Lincolnwood, IL 60712-3517
Phone (847) 674-5200

National Provider Directory

National Provider Directory

Locations

4100 W Pratt Ave
Lincolnwood, IL 60712

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295730679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W PRATT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123517",
            "telephone_number": "847-674-5200",
            "fax_number": "847-674-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 CHICAGO AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014727",
            "telephone_number": "847-328-6503",
            "fax_number": "847-869-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "847-674-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "0031971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.