Active NPI
Parc at Joliet LLC
- Nursing Facility/Intermediate Care Facility
- Joliet, IL
National Provider Identifier
1689096745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 0052571
- Legal business name
- PARC AT JOLIET LLC
- Practice address
- 222 N Hammes Ave
Joliet, IL 60435-8161 - Phone
- (815) 725-0443
- NPI assigned
- Jan 9, 2014
- 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. Charles Slagle
- Title
- Owner
- Phone
- (847) 905-3000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 0052571 | IL | Primary |
| Skilled Nursing Facility | 314000000X | 0052571 | IL |
Addresses
Primary practice location
222 N Hammes Ave
Joliet, IL 60435-8161
Mailing address
2201 Main St
Evanston, IL 60202-1519
Phone (847) 905-3000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389225600000",
"number": "1689096745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 MAIN ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021519",
"telephone_number": "847-905-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N HAMMES AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604358161",
"telephone_number": "815-725-0443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARC AT JOLIET LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-09",
"last_updated": "2014-01-09",
"status": "A",
"authorized_official_last_name": "SLAGLE",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-905-3000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IL",
"license": "0052571",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": "0052571",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.