Organization Active NPI

Healthcare Management Professionals Corp

Doing business as Burgess Square Healthcare Centre

  • Skilled Nursing Facility
  • Westmont, IL
National Provider Identifier
1508813189
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0029199 Issued in IL
Legal business name
HEALTHCARE MANAGEMENT PROFESSIONALS CORP
Doing business as
Burgess Square Healthcare Centre
Practice address
5801 S Cass Ave
Westmont, IL 60559-2300
Phone
(630) 971-2645
Fax
(630) 969-7166
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
John F Vrba
Title
Coo
Phone
(630) 971-2645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0029199 IL Primary

Addresses

Primary practice location

5801 S Cass Ave
Westmont, IL 60559-2300

Mailing address

5801 S Cass Ave
Westmont, IL 60559-2300
Phone (630) 971-2645

Other names 1

  • BURGESS SQUARE HEALTHCARE CENTRE Doing business as

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
14D0879264Burgess Square Healthcare & Rehab Centre5801 S Cass Ave, Westmont, IL 60559Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Burgess Square Healthcare and Rehabilitation Centre LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1508813189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 S CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592300",
            "telephone_number": "630-971-2645",
            "fax_number": "630-969-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592300",
            "telephone_number": "630-971-2645",
            "fax_number": "630-969-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE MANAGEMENT PROFESSIONALS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "VRBA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-971-2645"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0029199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BURGESS SQUARE HEALTHCARE CENTRE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.