Zahav of Berwyn LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ZAHAV OF BERWYN LLC

Doing business as

Zahav of Berwyn

Practice address

3601 S Harlem Ave
Berwyn, IL 60402-3219

Phone

(708) 749-4160

Fax

(708) 749-7696

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Bogoff

Title

Manager

Phone

(847) 563-0132

Specialties & licenses 1

Addresses

Other names 1

• Zahav of Berwyn Doing business as

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1427819671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S HARLEM AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023219",
            "telephone_number": "708-749-4160",
            "fax_number": "708-749-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S HARLEM AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023219",
            "telephone_number": "708-749-4160",
            "fax_number": "708-749-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAHAV OF BERWYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "BOGOFF",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-563-0132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zahav of Berwyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Berwyn, IL
• Providers in Berwyn, 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 Jan 16, 2024; 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.