Active NPI
Rosewood Care Center, Inc of Elgin
- Skilled Nursing Facility
- Elgin, IL
National Provider Identifier
1356346290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0040006
- Legal business name
- ROSEWOOD CARE CENTER, INC OF ELGIN
- Practice address
- 2355 Royal Blvd
Elgin, IL 60123-4716 - Phone
- (847) 888-9585
- NPI assigned
- Jun 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry Vander Maten
- Title
- President
- Phone
- (314) 994-9070
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 0040006 | IL | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 1303600001 | IL |
Addresses
Primary practice location
2355 Royal Blvd
Elgin, IL 60123-4716
Mailing address
11701 Borman Dr
Ste 315
Saint Louis, MO 63146-4194
Phone (314) 994-9070
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1356346290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11701 BORMAN DR",
"address_2": "STE 315",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464194",
"telephone_number": "314-994-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 ROYAL BLVD",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234716",
"telephone_number": "847-888-9585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSEWOOD CARE CENTER, INC OF ELGIN",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "VANDER MATEN",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-994-9070"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0040006",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "IL",
"license": "1303600001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.