Active NPI
Abbington Rehab & Nursing Center LTD
- Skilled Nursing Facility
- Roselle, IL
National Provider Identifier
1497748669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0039693
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0955819 | Abbington Village Nursing & Rehab Center LLC | Certificate of waiver | Jan 10, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Crystal Lake, IL
- NPI 1750804167
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.