Oakridge Healthcare Center LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

51862 Issued in IL

Legal business name

OAKRIDGE HEALTHCARE CENTER LLC

Practice address

323 Oak Ridge Ave
Hillside, IL 60162-2019

Phone

(708) 547-6595

Fax

(708) 547-1971

NPI assigned

Feb 1, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Elisha Atkin

Title

Owner

Phone

(847) 812-3648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1497027882",
    "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 HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-812-3648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "51862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.