Active NPI
The Terrace Nursing Home,L.L.C.
- Skilled Nursing Facility
- Waukegan, IL
National Provider Identifier
1699744557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- THE TERRACE NURSING HOME,L.L.C.
- Practice address
- 1615 Sunset Ave
Waukegan, IL 60087-3810 - Phone
- (847) 244-6700
- Fax
- (847) 244-7925
- NPI assigned
- Mar 14, 2006
- 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. Avrum Weinfeld
- Title
- Ceo
- Phone
- (847) 674-5795
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | IL | Primary |
Addresses
Primary practice location
1615 Sunset Ave
Waukegan, IL 60087-3810
Mailing address
1615 Sunset Ave
Waukegan, IL 60087-3810
Phone (847) 244-6700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699744557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 SUNSET AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600873810",
"telephone_number": "847-244-6700",
"fax_number": "847-244-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 SUNSET AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600873810",
"telephone_number": "847-244-6700",
"fax_number": "847-244-7925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE TERRACE NURSING HOME,L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WEINFELD",
"authorized_official_first_name": "AVRUM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-674-5795",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.