Organization Active NPI

McAllister Nursing & Rehab LLC

  • Skilled Nursing Facility
  • Tinley Park, IL
National Provider Identifier
1689846040
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0049502 Issued in IL
Legal business name
MCALLISTER NURSING & REHAB LLC
Practice address
18300 Lavergne Ave
Tinley Park, IL 60478-2903
Phone
(708) 798-2272
Fax
(708) 798-2298
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mr. Joel Atkin
Title
Ownerrr
Phone
(847) 470-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0049502 IL Primary

Addresses

Primary practice location

18300 Lavergne Ave
Tinley Park, IL 60478-2903

Mailing address

9777 N Greenwood Ave
Niles, IL 60714-1002
Phone (847) 470-0000

Other identifiers 1

IdentifierTypeStateIssuer
363147773001MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1689846040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 N GREENWOOD AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141002",
            "telephone_number": "847-470-0000",
            "fax_number": "847-470-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 LAVERGNE AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604782903",
            "telephone_number": "708-798-2272",
            "fax_number": "708-798-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALLISTER NURSING & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNERRR",
        "authorized_official_telephone_number": "847-470-0000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0049502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363147773001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.