Organization Active NPI

The Ponds of Wealshire

  • Assisted Living Facility
  • Lincolnshire, IL
National Provider Identifier
1679618722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0043927 Issued in IL
Legal business name
THE PONDS OF WEALSHIRE
Practice address
170 Jamestown LN
Lincolnshire, IL 60069-2119
Phone
(847) 883-9000
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Arnie Goldberg
Title
Owner
Phone
(847) 883-9026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0043927 IL Primary

Addresses

Primary practice location

170 Jamestown LN
Lincolnshire, IL 60069-2119

Mailing address

170 Jamestown LN
Lincolnshire, IL 60069-2119
Phone (847) 883-9000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679618722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 JAMESTOWN LN",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600692119",
            "telephone_number": "847-883-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 JAMESTOWN LN",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600692119",
            "telephone_number": "847-883-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PONDS OF WEALSHIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ARNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-883-9026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "0043927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.