Organization Active NPI

Oakridge Nursing & Rehab Center LLC

  • Skilled Nursing Facility
  • Hillside, IL
National Provider Identifier
1508021817
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1875772 Issued in IL
Legal business name
OAKRIDGE NURSING & REHAB CENTER LLC
Practice address
323 Oak Ridge Ave
Hillside, IL 60162-2019
Phone
(708) 547-6595
Fax
(708) 547-6595
NPI assigned
Jul 25, 2008
Last updated
Apr 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Helen Lacek
Title
Owner
Phone
(708) 547-6595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1875772 IL Primary

Addresses

Primary practice location

323 Oak Ridge Ave
Hillside, IL 60162-2019

Mailing address

323 Oak Ridge Ave
Hillside, IL 60162-2019
Phone (708) 547-6595

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1508021817",
    "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": "708-547-6595"
        },
        {
            "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": "708-547-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE NURSING & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "LACEK",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-547-6595"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1875772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.