Claridge Ivy, LTD

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CLARIDGE IVY, LTD

Doing business as

The Ivy Apartments at the Imperial

Practice address

2437 N Southport Ave
Chicago, IL 60614-2060

Phone

(773) 472-8400

Fax

(773) 248-3651

NPI assigned

Nov 13, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joyce Rudd

Title

Medicare Manager

Phone

(847) 933-2600

Specialties & licenses 1

Addresses

Other names 1

• THE IVY APARTMENTS AT THE IMPERIAL Doing business as

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1528139292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121810",
            "telephone_number": "847-933-2600",
            "fax_number": "847-933-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142060",
            "telephone_number": "773-472-8400",
            "fax_number": "773-248-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARIDGE IVY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "MEDICARE MANAGER",
        "authorized_official_telephone_number": "847-933-2600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE IVY APARTMENTS AT THE IMPERIAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clark Pharmacy Inc (Fullerton Pharmacy)

• Assisted Living Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.