CT Care, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CT CARE, LLC

Practice address

13301 Central Ave
Crestwood, IL 60445-1370

Phone

(708) 597-5251

Fax

(708) 597-4998

NPI assigned

Jan 17, 2012

Organization subpart

Yes

Parent organization

JLM FINANCIAL HEALTHCARE, LPAs reported in NPPES

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

Authorized official

Name

Mr. Jamie Nickle

Title

Director

Phone

(630) 501-0996

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crestwood Terrace Nursing Center Doing business as

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1699046029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S443 SUMMIT AVE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813989",
            "telephone_number": "847-767-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 CENTRAL AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451370",
            "telephone_number": "708-597-5251",
            "fax_number": "708-597-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JLM FINANCIAL HEALTHCARE, LP",
        "enumeration_date": "2012-01-17",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "NICKLE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-501-0996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051714",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestwood Terrace Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crestwood Dental and TMJ Care PC
• Crestwood Dental Care PC
• Crestwood Medical Associates LTD
• Crestwood Rehabilitation Center LLC
• Crestwood Terrace Operator LLC
• Diana Daley, COTA
• Daniel J. Sweeney DC, LTD.
• Brittany Lee Davis, MS, CCC-SLP
• Sakeena Dean
• Daniel C Desimone, MD

• Nursing Facility/Intermediate Care Facility in Crestwood, IL
• Providers in Crestwood, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.