Organization Active NPI

Wheaton Care Center

  • Nursing Facility/Intermediate Care Facility
  • Wheaton, IL
National Provider Identifier
1710002035
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
0039115 Issued in IL
Legal business name
WHEATON CARE CENTER
Practice address
1325 Manchester Rd
Wheaton, IL 60187-4760
Phone
(630) 668-2500
Fax
(630) 668-0232
NPI assigned
Mar 20, 2007
Last updated
Mar 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Joe Zimmerman
Title
Ceo
Phone
(847) 905-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 0039115 IL Primary
Skilled Nursing Facility 314000000X 0039115 IL

Addresses

Primary practice location

1325 Manchester Rd
Wheaton, IL 60187-4760

Mailing address

1325 Manchester Rd
Wheaton, IL 60187-4760
Phone (630) 668-2500

Other identifiers 1

IdentifierTypeStateIssuer
1066OtherILBLUE CROSS BLUE SHIELD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0416915Wheaton Care Center1325 Manchester, Wheaton, IL 60187Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1710002035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 MANCHESTER RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874760",
            "telephone_number": "630-668-2500",
            "fax_number": "630-668-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 MANCHESTER RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874760",
            "telephone_number": "630-668-2500",
            "fax_number": "630-668-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATON CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-905-4000"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0039115",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0039115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1066",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.