Active NPI
The Ponds of Wealshire
- Assisted Living Facility
- Lincolnshire, IL
National Provider Identifier
1679618722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 0043927
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.