Organization Active NPI

Willmington Nursing &Rehabilitation Center,L.L.C.

  • Skilled Nursing Facility
  • Wilmington, IL
National Provider Identifier
1508182544
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1940522 Issued in IL
Legal business name
WILLMINGTON NURSING &REHABILITATION CENTER,L.L.C.
Practice address
555 W Kahler Rd
Wilmington, IL 60481-1527
Phone
(815) 476-2200
Fax
(847) 679-2209
NPI assigned
Apr 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Mr. Avrum Weinfeld
Title
C.F.O
Phone
(847) 674-5795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1940522 IL Primary

Addresses

Primary practice location

555 W Kahler Rd
Wilmington, IL 60481-1527

Mailing address

6865 N Lincoln Ave
Lincolnwood, IL 60712-4611
Phone (847) 674-5795

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1508182544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6865 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124611",
            "telephone_number": "847-674-5795",
            "fax_number": "847-674-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W KAHLER RD",
            "city": "WILMINGTON",
            "state": "IL",
            "postal_code": "604811527",
            "telephone_number": "815-476-2200",
            "fax_number": "847-679-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLMINGTON NURSING &REHABILITATION CENTER,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "WEINFELD",
        "authorized_official_first_name": "AVRUM",
        "authorized_official_title_or_position": "C.F.O",
        "authorized_official_telephone_number": "847-674-5795",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1940522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.