Organization Active NPI

Glencrest Nursing & Rehabilitation Centre

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1679972590
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GLENCREST NURSING & REHABILITATION CENTRE
Practice address
2451 W Touhy Ave
Chicago, IL 60645-3309
Phone
(773) 338-6800
Fax
(773) 338-1166
NPI assigned
Aug 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Catherine F Allen
Title
Chief Financial Officer
Phone
(847) 674-5454

Specialties & licenses 2

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

Addresses

Primary practice location

2451 W Touhy Ave
Chicago, IL 60645-3309

Mailing address

5454 Fargo Ave
Skokie, IL 60077-3210
Phone (847) 674-5454

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1679972590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 FARGO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773210",
            "telephone_number": "847-674-5454",
            "fax_number": "847-674-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453309",
            "telephone_number": "773-338-6800",
            "fax_number": "773-338-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENCREST NURSING & REHABILITATION CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-674-5454"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.