Active NPI
McAllister Nursing & Rehab LLC
- Skilled Nursing Facility
- Tinley Park, IL
National Provider Identifier
1689846040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 0049502
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363147773001 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI 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.