Skokie Meadows LLC

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

SKOKIE MEADOWS LLC

Practice address

4600 Golf Rd
Skokie, IL 60076-1210

Phone

(847) 679-1157

Fax

(847) 626-0432

NPI assigned

Dec 23, 2019

Organization subpart

No

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

Authorized official

Name

Marcella Graf

Title

Cfo

Phone

(224) 470-2044

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Skokie Meadows Doing business as

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1366081341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 CHASE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764008",
            "telephone_number": "224-470-2044",
            "fax_number": "224-470-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761210",
            "telephone_number": "847-679-1157",
            "fax_number": "847-626-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOKIE MEADOWS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "224-470-2044"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054312",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skokie Meadows",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skokie Meadows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skokie Family Clinic P.C.
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• Skokie Foot & Ankle Specialists, LTD.
• Skokie Home and Nursing Services
• Skokie Meadow Nursing Center Inc
• Skokie Meadows Nursing Center II
• Skokie Meadows Nursing Centers II,LLC
• Skokie Meadows Nursing Centers II,LLC
• Skokie Medical Center LLC
• Skokie Naprapathic Healthcare and Pain Management Inc.

• Mental Illness Intermediate Care Facility in Skokie, IL
• Providers in Skokie, IL by specialty
• Mental Illness Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.