Plum Grove Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0048199 Issued in IL

Legal business name

PLUM GROVE NURSING HOME

Practice address

24 S Plum Grove Rd
Palatine, IL 60067-6243

Phone

(847) 358-0311

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Stern

Title

Ceo

Phone

(847) 677-9823

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548397706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S PLUM GROVE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676243",
            "telephone_number": "847-358-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S PLUM GROVE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600676243",
            "telephone_number": "847-358-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM GROVE NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-677-9823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0048199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Palatine, IL
• Providers in Palatine, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.