JT Care LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

IL6004964 Issued in IL

Legal business name

JT CARE LLC

Practice address

1S443 Summit Ave
204 A&B
Oakbrook Terrace, IL 60181-3989

Phone

(630) 501-0996

NPI assigned

Aug 1, 2016

Organization subpart

No

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

Authorized official

Name

Jamie Nickle

Title

It Director

Phone

(630) 501-0996

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Joliet Terrace Nursing Center2 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.

• JT Care LLC

  dba Joliet Terrace Nursing Center

  • Nursing Facility/Intermediate Care Facility
  • Joliet, IL
  • NPI 1790056703
  NPD tax ID

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1427501998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S443 SUMMIT AVE",
            "address_2": "204 A&B",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813989",
            "telephone_number": "630-501-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S443 SUMMIT AVE",
            "address_2": "204 A&B",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813989",
            "telephone_number": "630-501-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "NICKLE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "IT DIRECTOR",
        "authorized_official_telephone_number": "630-501-0996"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "IL6004964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "452820443003",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dea Marie Johnson, LCSW, CADC, SAP
• Torra Jones, MD
• Michelle Eileen Jordan, APRN
• Heather Lee Joseph
• Julie Mather Jourdan, PA-C
• Kimberly Lynn Kaliebe, D.C.
• Marya Mansoor Kapadvanjwala
• Fatima Karim, O.D.
• Hassan Y Karim, DDS
• Katrina Shannon, LMFT, PLLC

• Nursing Facility/Intermediate Care Facility in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.