Belmont Nursing Home, Inc.

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

0024968 Issued in IL

Legal business name

BELMONT NURSING HOME, INC.

Practice address

1936 W Belmont Ave
Chicago, IL 60657-2025

Phone

(773) 525-7176

Fax

(773) 525-8929

NPI assigned

Oct 18, 2006

Last updated

Jul 14, 2009By 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

Eileen Conway

Title

President

Phone

(773) 525-7176

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1528149382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572025",
            "telephone_number": "773-525-7176",
            "fax_number": "773-525-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572025",
            "telephone_number": "773-525-7176",
            "fax_number": "773-525-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-525-7176"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "0024968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14E836",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belmont Eyecare LLC
• Suzanne Belmont Finucane, PTA
• Belmont Harlem Anesthesia LLC
• Belmont Medical & Dental Management P.C.
• Belmont Medical Inc.
• Belmont Pharmacy
• Belmont Pharmacy LLC (Chicago Pharmacy)
• Belmont/Harlem Surgery Center, LLC
• Amelia A Belmonte, RDN
• Ana Belmonte, PSY.D.

• Mental Illness Intermediate Care Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Illness Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.