Organization Active NPI

Senior Healthcare & Rehab LLC

  • Home Health Agency
  • Orland Park, IL
National Provider Identifier
1639592736
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SENIOR HEALTHCARE & REHAB LLC
Practice address
15347 S 70TH CT
Suite 2
Orland Park, IL 60462-5156
Phone
(708) 925-6170
Fax
(708) 221-6416
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Mr. Shahzad Khan, MS
Title
Ceo
Phone
(708) 925-6170

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15347 S 70TH CT
Suite 2
Orland Park, IL 60462-5156

Mailing address

15347 S 70TH CT
Suite 2
Orland Park, IL 60462-5156
Phone (708) 925-6170

National Provider Directory

National Provider Directory

Locations

15347 S 70th Ct
Ste 2
Orland Park, IL 60462
Phone (708) 925-6170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1639592736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15347 S 70TH CT",
            "address_2": "SUITE 2",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625156",
            "telephone_number": "708-925-6170",
            "fax_number": "708-221-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15347 S 70TH CT",
            "address_2": "SUITE 2",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625156",
            "telephone_number": "708-925-6170",
            "fax_number": "708-221-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTHCARE & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAHZAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-925-6170",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.