Symphony Maple Ridge LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0042366 Issued in IL

Legal business name

SYMPHONY MAPLE RIDGE LLC

Practice address

2202 N Kickapoo St
Lincoln, IL 62656-1306

Phone

(217) 735-1538

Fax

(217) 732-4818

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Frances Meehan

Title

Attorney

Phone

(312) 521-2467

Specialties & licenses 1

Addresses

Other names 1

• Maple Ridge Care Centre Doing business as

Locations

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1306113667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N KICKAPOO ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561306",
            "telephone_number": "217-735-1538",
            "fax_number": "217-732-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N KICKAPOO ST",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626561306",
            "telephone_number": "217-735-1538",
            "fax_number": "217-732-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMPHONY MAPLE RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "312-521-2467",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0042366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Ridge Care Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lincoln, IL
• Providers in Lincoln, 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 Nov 30, 2011; 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.