Villa at Windsor Park Nursing and Living Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LICENSE APPLIED FOR

Legal business name

VILLA AT WINDSOR PARK NURSING AND LIVING CENTER, LLC

Practice address

2649 E 75TH St
Chicago, IL 60649-3835

Phone

(773) 356-9300

Fax

(773) 356-9384

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Menachem Berger

Title

Manager

Phone

(847) 679-9797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1376863019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 N RIDGEWAY AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122620",
            "telephone_number": "847-679-9797",
            "fax_number": "847-679-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493835",
            "telephone_number": "773-356-9300",
            "fax_number": "773-356-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA AT WINDSOR PARK NURSING AND LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": "LICENSE APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Vilca
• Amir Vilchez
• Jane Vilderman, O.D.
• Anna Vilgre la Madrid, M.S., CCC-SLP
• Brittany Vill
• Maria Isabel Villa Espinosa, APRN
• Villa Holistic Caregivers, LLC
• Alexis Villa Sr.
• Andrea Villa
• Catherine Valencia Villa, R.N.

• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, 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 Apr 27, 2021; 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.