The Villa at South Holland

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE VILLA AT SOUTH HOLLAND

Practice address

6400 Shafer CT
Suite 700
Rosemont, IL 60018-4914

Phone

(847) 825-5386

NPI assigned

Apr 22, 2013

Organization subpart

No

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

Authorized official

Name

Benjamin Israel

Title

Director

Phone

(847) 692-1152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1669816633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 WAUSAU AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732158",
            "telephone_number": "708-596-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SHAFER CT",
            "address_2": "SUITE 700",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184914",
            "telephone_number": "847-825-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLA AT SOUTH HOLLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-692-1152"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Home Health LLC
• Rebecca Tamborski, RN
• Sonam Tantuwaya, PA-C
• Gregory Jon Taycher
• Alissa M Taylor, PT, DPT
• Nithin Thomas
• Union Eyes, LLC
• Patricia Rose Varco-White, DDS
• Village of Rosemont Illinois
• Vita Optimum Counseling and Consulting, LLC

• Skilled Nursing Facility in Rosemont, IL
• Providers in Rosemont, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.