Grove at the Lake Living and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2019775 Issued in IL

Legal business name

GROVE AT THE LAKE LIVING AND REHABILITATION CENTER LLC

Practice address

2534 Elim Ave
Zion, IL 60099-2661

Phone

(847) 746-8435

NPI assigned

Aug 12, 2011

Last updated

Aug 12, 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

Reuven Levitin

Title

Ar Manager

Phone

(847) 676-5307

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1396024964",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 ELIM AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992661",
            "telephone_number": "847-746-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE AT THE LAKE LIVING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "LEVITIN",
        "authorized_official_first_name": "REUVEN",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "847-676-5307"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "2019775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Go Labs
• Goodcare Medical Transport Services
• Gopal N. Bhalala, M.D..LLC
• Stephanie Christine Gordon, LPN
• Greenpath Health Group, LLC
• Grove at the Lake Skilled Nursing Facility LLC (The Grove at the Lake)
• Esmeralda Guerra, LNA
• Karen Gutierrez
• Hatem Halabi, MD
• Harold J. Birky DDS LTD.

• Skilled Nursing Facility in Zion, IL
• Providers in Zion, 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 12, 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.