Sycamore Operator LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0045153 Issued in IL

Legal business name

SYCAMORE OPERATOR LLC

Practice address

720 Sycamore St
Quincy, IL 62301-1639

Phone

(217) 222-1480

Fax

(217) 222-0962

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Avrum Weinfeld

Title

Cfo

Phone

(847) 674-5795

Specialties & licenses 1

Addresses

Other names 1

• sycamore healthcare centre Former legal business name

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700966934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6865 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124611",
            "telephone_number": "847-674-5795",
            "fax_number": "847-674-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SYCAMORE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623011639",
            "telephone_number": "217-222-1480",
            "fax_number": "217-222-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINFELD",
        "authorized_official_first_name": "AVRUM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-674-5795",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0045153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sycamore healthcare centre",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Hollis Stephen Swink, MA, ICCS, LCPC, CAAD
• Sycamore Healthcare Centre
• Koretta G Sykes
• Malik Sylvester, BS MHP
• Mackenzi Jo Tallcott, M.S., CCC-SLP
• Roula Y. Tanios, M.D.
• Diane Tappe

• Skilled Nursing Facility in Quincy, IL
• Providers in Quincy, 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 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.