NPIMap

Organization Active NPI

Belhaven Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1427208388
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0048215 Issued in IL
Legal business name
BELHAVEN NURSING & REHABILITATION CENTER
Practice address
11401 S Oakley Ave
Chicago, IL 60643-4196
Phone
(773) 233-6311
Fax
(773) 233-9304
NPI assigned
Sep 26, 2008
Last updated
Sep 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Mary Richardson
Title
Controller
Phone
(773) 233-6311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0048215 IL Primary

Addresses

Primary practice location

11401 S Oakley Ave
Chicago, IL 60643-4196

Mailing address

11401 S Oakley Ave
Chicago, IL 60643-4196
Phone (773) 233-6311

National Provider Directory

National Provider Directory
Tax ID family
Belhaven Nursing and Rehabilitation Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1427208388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 S OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434196",
            "telephone_number": "773-233-6311",
            "fax_number": "773-233-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 S OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434196",
            "telephone_number": "773-233-6311",
            "fax_number": "773-233-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELHAVEN NURSING & REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "773-233-6311"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0048215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.