Organization Active NPI

Evanston Nursing & Rehab Center, LLC

  • Skilled Nursing Facility
  • Evanston, IL
National Provider Identifier
1679779110
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EVANSTON NURSING & REHAB CENTER, LLC
Doing business as
Aperion Care Evanston
Practice address
1300 Oak Ave
Evanston, IL 60201-4205
Phone
(847) 869-1300
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Mr. Yosef Meystel
Title
Manager
Phone
(847) 673-6767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X IL Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1300 Oak Ave
Evanston, IL 60201-4205

Mailing address

8131 Monticello Ave
Skokie, IL 60076-3325
Phone (847) 673-6767

Other identifiers 1

IdentifierTypeStateIssuer
205015147001MedicaidIL

Other names 1

  • Aperion Care Evanston 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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1679779110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 MONTICELLO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763325",
            "telephone_number": "847-673-6767",
            "fax_number": "847-673-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OAK AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014205",
            "telephone_number": "847-869-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSTON NURSING & REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "MEYSTEL",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-673-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205015147001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aperion Care Evanston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aperion Care Evanston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.