Resurrection Senior Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0044370 Issued in IL

Legal business name

RESURRECTION SENIOR SERVICES

Practice address

500 Asbury Ave
Evanston, IL 60202-2724

Phone

(847) 316-3322

Fax

(847) 316-3337

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Tom Capobianco

Title

Executive Vice President Finance

Phone

(773) 792-7925

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St Francis Nursing & Rehab Center Doing business as

Member of 1

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

• Presence Chicago Hospitals Network

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1194404251

  Member Of

  NPD member

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376537670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 W TALCOTT AVE",
            "address_2": "PROFESSIONAL BULIDING STE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313707",
            "telephone_number": "773-594-7837",
            "fax_number": "773-594-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ASBURY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022724",
            "telephone_number": "847-316-3322",
            "fax_number": "847-316-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAPOBIANCO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "773-792-7925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0044370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Francis Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Restoration Care and Counseling LLC
• Restorative Physical Therapy LLC
• Restorative Physical Therapy, PLLC
• Resurraction Behavioral Health
• Resurrection
• Resurrection Services
• Resurrection Services
• Resurrection Services
• Resurrection Services
• Resurrection Services

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