Organization Active NPI

Mainstay, Inc,

  • Dietary Manager
  • Winnetka, IL
National Provider Identifier
1497287577
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dietary ManagerTaxonomy code 132700000X
Legal business name
MAINSTAY, INC,
Practice address
1001 Green Bay Rd
Winnetka, IL 60093-1721
Phone
(847) 784-8812
NPI assigned
Mar 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Mr. James D VailNPI 1740706266
Title
President
Phone
(847) 784-8812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary ManagerGroup: 193200000X MULTI-SPECIALTY GROUP 132700000X Primary

Addresses

Primary practice location

1001 Green Bay Rd
Winnetka, IL 60093-1721

Mailing address

1001 Green Bay Rd
Winnetka, IL 60093-1721
Phone (847) 784-8812

National Provider Directory

National Provider Directory

Locations

1001 Green Bay Rd
Winnetka, IL 60093
Phone (224) 216-4454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1497287577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GREEN BAY RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931721",
            "telephone_number": "847-784-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GREEN BAY RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931721",
            "telephone_number": "847-784-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTAY, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "VAIL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-784-8812",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.