Organization Active NPI

Abbington Rehab & Nursing Center LTD

  • Skilled Nursing Facility
  • Roselle, IL
National Provider Identifier
1497748669
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0039693 Issued in IL
Legal business name
ABBINGTON REHAB & NURSING CENTER LTD
Practice address
31 Central Ave
Roselle, IL 60172-1903
Phone
(630) 894-5058
Fax
(630) 894-5070
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Mr. Jeffrey Webster
Title
Pres
Phone
(847) 679-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0039693 IL Primary

Addresses

Primary practice location

31 Central Ave
Roselle, IL 60172-1903

Mailing address

3737 W Arthur Ave
Lincolnwood, IL 60712-4029
Phone (847) 679-2121

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0955819Abbington Village Nursing & Rehab Center LLC31 West Central, Roselle, IL 60172Certificate of waiverJan 10, 2027

National Provider Directory

National Provider Directory

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": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1497748669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 W ARTHUR AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124029",
            "telephone_number": "847-679-2121",
            "fax_number": "847-679-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CENTRAL AVE",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721903",
            "telephone_number": "630-894-5058",
            "fax_number": "630-894-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBINGTON REHAB & NURSING CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "847-679-2121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0039693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.