Organization Active NPI

Lakefront Nursing and Rehabilitation LLC

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1487668190
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0047779 Issued in IL
Legal business name
LAKEFRONT NURSING AND REHABILITATION LLC
Practice address
7618 N Sheridan Rd
Chicago, IL 60626-1418
Phone
(773) 743-7711
Fax
(773) 761-3387
NPI assigned
Jul 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Menachem Shabat
Title
Owner
Phone
(773) 743-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0047779 IL Primary

Addresses

Primary practice location

7618 N Sheridan Rd
Chicago, IL 60626-1418

Mailing address

7618 N Sheridan Rd
Chicago, IL 60626-1418
Phone (773) 743-7711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487668190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261418",
            "telephone_number": "773-743-7711",
            "fax_number": "773-761-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261418",
            "telephone_number": "773-743-7711",
            "fax_number": "773-761-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEFRONT NURSING AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHABAT",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-743-7711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0047779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • 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.