Organization Active NPI

Selectcare Health, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Park Ridge, IL
National Provider Identifier
1609072719
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
SELECTCARE HEALTH, INC.
Practice address
1480 Renaissance Dr
Suite #304
Park Ridge, IL 60068-1332
Phone
(847) 768-9240
Fax
(847) 768-9304
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Akash Patel
Title
Coo
Phone
(847) 489-5532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

1480 Renaissance Dr
Suite #304
Park Ridge, IL 60068-1332

Mailing address

1560 Sherman Ave
Suite #460
Evanston, IL 60201-4818
Phone (847) 859-1512

National Provider Directory

National Provider Directory

Locations

1560 Sherman Ave
Ste 460
Evanston, IL 60201

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609072719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE",
            "address_2": "SUITE #460",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014818",
            "telephone_number": "847-859-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 RENAISSANCE DR",
            "address_2": "SUITE #304",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681332",
            "telephone_number": "847-768-9240",
            "fax_number": "847-768-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTCARE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AKASH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "847-489-5532"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • 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.