Active NPI
Greenwood Care, Inc.
- Mental Illness Intermediate Care Facility
- Evanston, IL
National Provider Identifier
1295730679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Intermediate Care Facility
- License
- 0031971
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.