The Clare at Water Tower

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0046789 Issued in IL

Legal business name

THE CLARE AT WATER TOWER

Practice address

55 E Pearson St
Chicago, IL 60611-2535

Phone

(312) 784-8000

Fax

(312) 951-5893

NPI assigned

Aug 14, 2009

Last updated

Aug 26, 2011By 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

Ms. Judy Amiano

Title

President & Ceo

Phone

(708) 647-6500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1386876050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E PEARSON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112535",
            "telephone_number": "312-784-8000",
            "fax_number": "312-951-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E PEARSON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112535",
            "telephone_number": "312-784-8000",
            "fax_number": "312-951-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLARE AT WATER TOWER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "AMIANO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "708-647-6500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0046789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0046789",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 26, 2011; 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.