NPIMap

Organization Active NPI

Joseph Rehabilitation Center, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Tinley Park, IL
National Provider Identifier
1316187446
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
JOSEPH REHABILITATION CENTER, LLC
Practice address
2 Olympus Dr
Tinley Park, IL 60477-4827
Phone
(708) 420-3250
Fax
(708) 429-5868
NPI assigned
Mar 2, 2009
Last updated
Mar 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. Joseph Abiodun Balogun, PHD PTNPI 1144460270
Title
Ceo
Phone
(708) 420-3250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X IL
Intellectual Disabilities Intermediate Care Facility 315P00000X IL Primary

Addresses

Primary practice location

2 Olympus Dr
Tinley Park, IL 60477-4827

Mailing address

2 Olympus Dr
Tinley Park, IL 60477-4827
Phone (708) 420-3250

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1316187446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLYMPUS DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774827",
            "telephone_number": "708-420-3250",
            "fax_number": "708-429-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OLYMPUS DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774827",
            "telephone_number": "708-420-3250",
            "fax_number": "708-429-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "BALOGUN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ABIODUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-420-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD PT"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

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