NPIMap

Organization Active NPI

Marianjoy at Park Place Christian Community

  • Skilled Nursing Facility
  • Elmhurst, IL
National Provider Identifier
1639425697
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MARIANJOY AT PARK PLACE CHRISTIAN COMMUNITY
Practice address
1150 S Euclid Ave
Elmhurst, IL 60126-5178
Phone
(630) 909-7378
Fax
(630) 909-7371
NPI assigned
Jul 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Ms. Jacque' Barnes
Title
PFS Manager
Phone
(630) 909-7378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1150 S Euclid Ave
Elmhurst, IL 60126-5178

Mailing address

1150 S Euclid Ave
Elmhurst, IL 60126-5178
Phone (630) 909-7378

National Provider Directory

National Provider Directory
Tax ID family
Marianjoy Rehab Hosp NE5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1639425697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S EUCLID AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265178",
            "telephone_number": "630-909-7378",
            "fax_number": "630-909-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S EUCLID AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265178",
            "telephone_number": "630-909-7378",
            "fax_number": "630-909-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANJOY AT PARK PLACE CHRISTIAN COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JACQUE'",
        "authorized_official_title_or_position": "PFS MANAGER",
        "authorized_official_telephone_number": "630-909-7378",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.