Generations at Columbus Park,Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0037960 Issued in IL

Legal business name

GENERATIONS AT COLUMBUS PARK,INC

Practice address

901 S Austin Blvd
Chicago, IL 60644-5304

Phone

(773) 287-5959

Fax

(773) 287-7909

NPI assigned

Jun 14, 2005

Last updated

Aug 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Winter, CPA

Title

Chief Financial Officer

Phone

(847) 675-7979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1679578041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122628",
            "telephone_number": "847-675-7979",
            "fax_number": "847-674-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S AUSTIN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445304",
            "telephone_number": "773-287-5959",
            "fax_number": "773-287-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS AT COLUMBUS PARK,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-675-7979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0037960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, 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 Aug 12, 2016; 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.