Symphony Countryside LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0040931 Issued in IL

Legal business name

SYMPHONY COUNTRYSIDE LLC

Practice address

2330 W Galena Blvd
Aurora, IL 60506-4246

Phone

(630) 896-4686

Fax

(630) 896-7868

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Mr. David Hartman

Title

Manager

Phone

(847) 933-2600

Specialties & licenses 1

Addresses

Other names 1

• Symphony of Orchard Valley Doing business as

Locations

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1497022743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064246",
            "telephone_number": "630-896-4686",
            "fax_number": "630-896-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 W GALENA BLVD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064246",
            "telephone_number": "630-896-4686",
            "fax_number": "630-896-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMPHONY COUNTRYSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-933-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0040931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Symphony of Orchard Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Aurora, IL
• Providers in Aurora, 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 Jun 23, 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.