NPIMap

Organization Active NPI

Kindred THC North Shore, LLC

  • Long Term Care Hospital
  • Chicago, IL
National Provider Identifier
1700492014
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
KINDRED THC NORTH SHORE, LLC
Doing business as
Kindred - Chicago - Central Hospital
Practice address
4058 W Melrose St
Chicago, IL 60641-4799
Phone
(773) 736-7000
Fax
(773) 202-4355
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Terrance K Dillon
Title
Assistant Secretary
Phone
(502) 596-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

4058 W Melrose St
Chicago, IL 60641-4799

Mailing address

4058 W Melrose St
Chicago, IL 60641-4799
Phone (773) 736-7000

Other names 1

  • Kindred - Chicago - Central Hospital Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1700492014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 W MELROSE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414799",
            "telephone_number": "773-736-7000",
            "fax_number": "773-202-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4058 W MELROSE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414799",
            "telephone_number": "773-736-7000",
            "fax_number": "773-202-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED THC NORTH SHORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred - Chicago - Central Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

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