Manor Care of Westmont Il LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0019489 Issued in IL

Legal business name

MANOR CARE OF WESTMONT IL LLC

Practice address

512 E Ogden Ave
Westmont, IL 60559-1228

Phone

(630) 323-4400

Fax

(630) 323-4583

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5734

Specialties & licenses 2

Addresses

Other names 1

• ManorCare Health Services-Westmont Doing business as

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1700824729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E OGDEN AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591228",
            "telephone_number": "630-323-4400",
            "fax_number": "630-323-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF WESTMONT IL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0019489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManorCare Health Services-Westmont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Mangan
• Brittany Lynn Mangin, LCPC
• Jeremy Jon Manlapaz
• Cherilyn M Manney, DPT
• Russell E Manney III, D.C.
• Jonathan Maravelias, APRN
• Samantha Mary Marek, R.D.
• Margaret E Brownlie DC PC
• Marri Anesthetics LTD
• Brooke Marshall, MA., CCC-SLP

• Skilled Nursing Facility in Westmont, IL
• Providers in Westmont, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.