NPIMap

Organization Active NPI

Marklund Childrens Home DME

  • Pediatric Skilled Nursing Facility
  • Geneva, IL
National Provider Identifier
1639561772
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
MARKLUND CHILDRENS HOME DME
Practice address
1S450 Wyatt Dr
Geneva, IL 60134-4921
Phone
(630) 593-5500
NPI assigned
Feb 26, 2015
Last updated
Feb 26, 2015By the provider in NPPES
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
Gilbert Fonger
Title
Ceo/President
Phone
(630) 593-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

1S450 Wyatt Dr
Geneva, IL 60134-4921

Mailing address

1S450 Wyatt Dr
Geneva, IL 60134-4921

National Provider Directory

National Provider Directory
Tax ID family
Marklund Richard Home11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1639561772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S450 WYATT DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S450 WYATT DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344921",
            "telephone_number": "630-593-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKLUND CHILDRENS HOME DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "FONGER",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "630-593-5500"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

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.