Prairie Crossing Living and Rehabilitation Center

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PRAIRIE CROSSING LIVING AND REHABILITATION CENTER

Practice address

7434 Skokie Blvd
Skokie, IL 60077-3341

Phone

(847) 982-2300

Fax

(847) 982-2304

NPI assigned

Nov 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Moshe Herman

Title

Member

Phone

(847) 982-2300

Specialties & licenses 1

Addresses

Tax ID family

Prairie Crossing Living and Rehabilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prairie Crossing Living & Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Shabbona, IL
  • NPI 1730426149
  NPD tax ID

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1306276597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W COMANCHE AVE",
            "city": "SHABBONA",
            "state": "IL",
            "postal_code": "605509790",
            "telephone_number": "815-824-2194",
            "fax_number": "815-824-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7434 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773341",
            "telephone_number": "847-982-2300",
            "fax_number": "847-982-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE CROSSING LIVING AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-982-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam J Posner, MD
• Anne Pothour, LCSW
• Shannon Marie Powers, DO
• PR Orthotics & OT, LLC
• Practice Wellness First LLC
• Arijana Pranjic, APRN, FNP-BC
• Praxis Counseling Services, PLLC
• Praxis Home Care, LLC
• Presence Ambulatory Services
• Presque Isle Orthotics and Prosthetics of Ohio, LLC

• Oxygen Equipment & Supplies (DME) in Skokie, IL
• Providers in Skokie, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.