Forest Villa Rehabilitation and Nursing Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FOREST VILLA REHABILITATION AND NURSING CENTER

Practice address

6840 W Touhy Ave
Niles, IL 60714-4520

Phone

(847) 647-6400

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Laura M Gordon, PTA

Title

Physical Therapy Asst.

Phone

(847) 647-6400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336347129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 W SUMMERDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561942",
            "telephone_number": "777-837-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144520",
            "telephone_number": "847-647-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST VILLA REHABILITATION AND NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPY ASST.",
        "authorized_official_telephone_number": "847-647-6400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Folwarczny, COTA/L
• Annette Fontanez, FNP
• Food Foundations LLC
• Scott B Ford, O.D.
• Forest Villa Nursing and Rehabilitation Center, LLC
• Fourthebest LLC
• Dawn Franceschina, PT
• Kelly J Francis
• Fresenius Medical Care Chicagoland, LLC
• Fresh Farm Pharmacy LLC

• Skilled Nursing Facility in Niles, IL
• Providers in Niles, 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 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.

Verify at the official NPI Registry.