NPIMap

Organization Active NPI

Symphony Crestwood LLC

  • Skilled Nursing Facility
  • Crestwood, IL
National Provider Identifier
1669749917
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0044164 Issued in IL
Legal business name
SYMPHONY CRESTWOOD LLC
Practice address
14255 Cicero Ave
Crestwood, IL 60445-2154
Phone
(708) 371-0400
Fax
(708) 371-5871
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Ms. Frances Meehan
Title
Attorney
Phone
(312) 521-2467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0044164 IL Primary

Addresses

Primary practice location

14255 Cicero Ave
Crestwood, IL 60445-2154

Mailing address

14255 Cicero Ave
Crestwood, IL 60445-2154
Phone (708) 371-0400

Other names 1

  • Crestwood Care Centre 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": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1669749917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14255 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604452154",
            "telephone_number": "708-371-0400",
            "fax_number": "708-371-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14255 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604452154",
            "telephone_number": "708-371-0400",
            "fax_number": "708-371-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMPHONY CRESTWOOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "312-521-2467",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0044164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestwood Care Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crestwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.