Organization Active NPI

Evangelical Retirement Homes of Greater Chicago, Inc.

Doing business as Friendship Village of Schaumburg

  • Physical Therapy Clinic/Center
  • Schaumburg, IL
National Provider Identifier
1659790889
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO, INC.
Doing business as
Friendship Village of Schaumburg
Practice address
350 W Schaumburg Rd
Schaumburg, IL 60194-3464
Phone
(847) 884-5530
Fax
(847) 884-5053
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Jeff Nyberg
Title
Controller
Phone
(847) 843-4259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X IL Primary

Addresses

Primary practice location

350 W Schaumburg Rd
Schaumburg, IL 60194-3464

Mailing address

350 W Schaumburg Rd
Schaumburg, IL 60194-3464
Phone (847) 884-5530

Other names 1

  • Friendship Village of Schaumburg Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1659790889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943464",
            "telephone_number": "847-884-5530",
            "fax_number": "847-884-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943464",
            "telephone_number": "847-884-5530",
            "fax_number": "847-884-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL RETIREMENT HOMES OF GREATER CHICAGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "NYBERG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "847-843-4259"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Village of Schaumburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.