Organization Active NPI

Springs at Crystal Lake, LLC

  • Skilled Nursing Facility
  • Crystal Lake, IL
National Provider Identifier
1447553193
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SPRINGS AT CRYSTAL LAKE, LLC
Practice address
1000 E Brighton LN
Crystal Lake, IL 60012-2074
Phone
(815) 455-8400
Fax
(815) 477-6569
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Ms. Frances Meehan
Title
Attorney
Phone
(312) 521-2467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1000 E Brighton LN
Crystal Lake, IL 60012-2074

Mailing address

1000 E Brighton LN
Crystal Lake, IL 60012-2074
Phone (815) 455-8400

Other names 1

  • The Springs at Crystal Lake Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1447553193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E BRIGHTON LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122074",
            "telephone_number": "815-455-8400",
            "fax_number": "815-477-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E BRIGHTON LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122074",
            "telephone_number": "815-455-8400",
            "fax_number": "815-477-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS AT CRYSTAL LAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "312-521-2467",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs at Crystal Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.