Active NPI
Grove of Northbrook Living & Rehab Center LLC
- Skilled Nursing Facility
- Northbrook, IL
National Provider Identifier
1659624112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GROVE OF NORTHBROOK LIVING & REHAB CENTER LLC
- Practice address
- 263 Skokie Blvd
Northbrook, IL 60062-1611 - Phone
- (847) 564-0505
- NPI assigned
- Oct 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reuven Levitin
- Title
- Ar Manager
- Phone
- (847) 676-5342
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
263 Skokie Blvd
Northbrook, IL 60062-1611
Mailing address
7040 N Ridgeway Ave
Lincolnwood, IL 60712-2620
Phone (847) 679-9797
National Provider Directory
National Provider DirectoryLocations
7040 N Ridgeway Ave
Lincolnwood, IL 60712
Phone (847) 679-9797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350864000000",
"number": "1659624112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7040 N RIDGEWAY AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122620",
"telephone_number": "847-679-9797",
"fax_number": "847-679-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 SKOKIE BLVD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621611",
"telephone_number": "847-564-0505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROVE OF NORTHBROOK LIVING & REHAB CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-22",
"last_updated": "2012-10-22",
"status": "A",
"authorized_official_last_name": "LEVITIN",
"authorized_official_first_name": "REUVEN",
"authorized_official_title_or_position": "AR MANAGER",
"authorized_official_telephone_number": "847-676-5342"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.