Organization Active NPI

The Terrace Nursing Home,L.L.C.

  • Skilled Nursing Facility
  • Waukegan, IL
National Provider Identifier
1699744557
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.