Organization Active NPI

Parker Nursing and Rehabilitation LLC

  • Skilled Nursing Facility
  • Parker, CO
National Provider Identifier
1598023533
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PARKER NURSING AND REHABILITATION LLC
Practice address
9398 Crown Crest Boulevard
Parker, CO 80138-8697
Phone
(224) 377-2400
Fax
(224) 377-2491
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Glenn Lefkovitz
Title
Manager
Phone
(847) 412-9871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9398 Crown Crest Boulevard
Parker, CO 80138-8697

Mailing address

1425 McHenry Rd
Ste 209
Buffalo Grove, IL 60089-1332
Phone (224) 377-2400

Other identifiers 1

IdentifierTypeStateIssuer
25076833MedicaidCO

Other names 1

  • CROWN CREST OF PARKER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1598023533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MCHENRY RD",
            "address_2": "STE 209",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891332",
            "telephone_number": "224-377-2400",
            "fax_number": "224-377-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9398 CROWN CREST BOULEVARD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388697",
            "telephone_number": "224-377-2400",
            "fax_number": "224-377-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER NURSING AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "LEFKOVITZ",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-412-9871"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25076833",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROWN CREST OF PARKER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.