Oakridge Convalescent Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0005108 Issued in IL

Legal business name

OAKRIDGE CONVALESCENT HOME

Doing business as

oakridge convalescent home

Practice address

323 Oak Ridge Ave
Hillside, IL 60162-2019

Phone

(708) 547-6595

Fax

(708) 547-1971

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn L Acerra

Title

Administrator

Phone

(708) 547-6595

Specialties & licenses 1

Addresses

Other names 1

• oakridge convalescent home Doing business as

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477552412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 OAK RIDGE AVE",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622019",
            "telephone_number": "708-547-6595",
            "fax_number": "708-547-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 OAK RIDGE AVE",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601622019",
            "telephone_number": "708-547-6595",
            "fax_number": "708-547-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE CONVALESCENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACERRA",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-547-6595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0005108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "oakridge convalescent home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Hillside, IL
• Providers in Hillside, 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 Aug 22, 2020; 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.