Active NPI
Cortland Manor LLC
- Assisted Living Facility
- Chicago, IL
National Provider Identifier
1487803938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CORTLAND MANOR LLC
- Practice address
- 1900 N. Karlov Ave.
Chicago, IL 60639 - Phone
- (773) 252-9941
- Fax
- (773) 252-9946
- NPI assigned
- Sep 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William G. D.Arcy
- Title
- Member-Cortland Manor LLC
- Phone
- (312) 655-7492
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | IL | Primary |
Addresses
Primary practice location
1900 N. Karlov Ave.
Chicago, IL 60639
Mailing address
1900 N. Karlov Ave.
Chicago, IL 60639
Phone (773) 252-9941
Other names 1
- Bishop Edwin Conway Residence
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1487803938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 N. KARLOV AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60639",
"telephone_number": "773-252-9941",
"fax_number": "773-252-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N. KARLOV AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60639",
"telephone_number": "773-252-9941",
"fax_number": "773-252-9946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORTLAND MANOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "D.ARCY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "MEMBER-CORTLAND MANOR LLC",
"authorized_official_telephone_number": "312-655-7492",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bishop Edwin Conway Residence",
"code": "5",
"type": "Other Name"
}
]
}
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 Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.