Fairview Care Center of Joliet, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0048983 Issued in IL

Legal business name

FAIRVIEW CARE CENTER OF JOLIET, LLC

Practice address

222 N Hammes Ave
Joliet, IL 60435-8121

Phone

(815) 725-0443

Fax

(815) 725-1079

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Yosef Meystel

Title

Manager

Phone

(847) 673-6767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1609056001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 MONTICELLO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763325",
            "telephone_number": "847-673-6767",
            "fax_number": "847-673-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358121",
            "telephone_number": "815-725-0443",
            "fax_number": "815-725-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW CARE CENTER OF JOLIET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-673-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0048983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.