NPIMap

Organization Active NPI

Highlander Care Center, LLC

Doing business as International Village

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1619092558
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0041590 Issued in IL
Legal business name
HIGHLANDER CARE CENTER, LLC
Doing business as
International Village
Practice address
4815 S Western Ave
Chicago, IL 60609
Phone
(773) 927-4200
Fax
(773) 927-8742
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mark Steinberg
Title
Chief Operating Officer
Phone
(847) 905-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0041590 IL Primary

Addresses

Primary practice location

4815 S Western Ave
Chicago, IL 60609

Mailing address

4815 S Western Ave
Chicago, IL 60609
Phone (773) 927-4200

Other identifiers 1

IdentifierTypeStateIssuer
50074OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • International Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ability Network3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619092558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60609",
            "telephone_number": "773-927-4200",
            "fax_number": "773-927-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60609",
            "telephone_number": "773-927-4200",
            "fax_number": "773-927-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDER CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "847-905-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0041590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50074",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, 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.