Skokie Home and Nursing Services

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

4000511 Issued in IL

Legal business name

SKOKIE HOME AND NURSING SERVICES

Practice address

4207 Birchwood Ave
Skokie, IL 60076-3859

Phone

(847) 208-2935

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Marie Esther Fenelon, MHEP

Title

Administrator

Phone

847208293547

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1467909598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 BIRCHWOOD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 BIRCHWOOD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763859",
            "telephone_number": "847-208-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOKIE HOME AND NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "FENELON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847208293547",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHEP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000511",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skokie Emergency Services, LLC
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• Skokie Family Dentistry PLLC (Lifetime Dentistry of Skokie)
• Skokie Foot & Ankle Specialists, LTD.
• Skokie Meadow Nursing Center Inc (Cambridge Nursing & Rehab Center)
• Skokie Meadows LLC (Skokie Meadows)
• Skokie Meadows Nursing Center II
• Skokie Meadows Nursing Centers II,LLC (Skokie Meadows Behavioral Health Ctr)
• Skokie Meadows Nursing Centers II,LLC (Cambridge Nursing & Rehab Center)

• Nursing Care Agency in Skokie, IL
• Providers in Skokie, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.