Organization Active NPI

Presence Central and Suburban Hospitals Network

Doing business as Presence St. Joseph Hospital-Elgin Rehab Unit

  • Rehabilitation Hospital Unit
  • Elgin, IL
National Provider Identifier
1336215482
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
0004887 Issued in IL
Legal business name
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Doing business as
Presence St. Joseph Hospital-Elgin Rehab Unit
Practice address
77 N Airlite St
Elgin, IL 60123-4912
Phone
(847) 622-2086
Fax
(847) 669-7624
NPI assigned
Nov 28, 2006
Last updated
Dec 29, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESENCE HOSPITALS - PRVAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Richard Douglas Carter
Title
Amita Cfo
Phone
(224) 273-2350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 0004887 IL Primary

Addresses

Primary practice location

77 N Airlite St
Elgin, IL 60123-4912

Mailing address

77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 622-2086

Other identifiers 1

IdentifierTypeStateIssuer
00055OtherILBCBS IL INPATIENT REHAB

Other names 1

  • Presence St. Joseph Hospital-Elgin Rehab Unit Doing business as

National Provider Directory

National Provider Directory
Part of
Mercy Ctr Health

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1336215482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 N AIRLITE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234912",
            "telephone_number": "847-622-2086",
            "fax_number": "847-669-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N AIRLITE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234912",
            "telephone_number": "847-622-2086",
            "fax_number": "847-669-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESENCE HOSPITALS - PRV",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "AMITA CFO",
        "authorized_official_telephone_number": "224-273-2350"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IL",
            "license": "0004887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL INPATIENT REHAB",
            "identifier": "00055",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence St. Joseph Hospital-Elgin Rehab Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Presence St. Joseph Hospital-Elgin Rehab Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.