Midwest Senior Ministries, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0014258 Issued in IL

Legal business name

MIDWEST SENIOR MINISTRIES, INC.

Doing business as

Bridgeway Christian Village

Practice address

111 E Washington St
Bensenville, IL 60106-2674

Phone

(630) 521-8012

NPI assigned

Aug 18, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan McGhee

Title

Controller

Phone

(217) 732-5175

Specialties & licenses 1

Addresses

Other names 1

• Bridgeway Christian Village Doing business as

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1366556060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WASHINGTON ST",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062674",
            "telephone_number": "630-521-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WASHINGTON ST",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062674",
            "telephone_number": "630-521-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SENIOR MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MCGHEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "217-732-5175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0014258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeway Christian Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suraj Mehta, PHARMD
• Marta Michalik
• Midwest Orthopaedics at Rush, LLC
• Midwest Senior Ministries, Inc (Bridgeway of Bensenville)
• Midwest Senior Ministries, Inc. (Bridgeway Christian Village)
• Iyanna Miller
• Paris Mitchell
• Yuseff Molina
• Omar Montoya
• Keily N. Mora-Cadena

• Skilled Nursing Facility in Bensenville, IL
• Providers in Bensenville, 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 Jun 18, 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.

Verify at the official NPI Registry.