NPIMap

Organization Active NPI

Oakton Pavillion, Inc.

  • Skilled Nursing Facility
  • Des Plaines, IL
National Provider Identifier
1710974993
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0025056 Issued in IL
Legal business name
OAKTON PAVILLION, INC.
Practice address
1660 Oakton PL
Des Plaines, IL 60018-2045
Phone
(847) 299-5588
Fax
(847) 493-6525
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Mr. Jay Lewkowitz, CNHA
Title
Executive Director
Phone
(847) 299-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0025056 IL Primary

Addresses

Primary practice location

1660 Oakton PL
Des Plaines, IL 60018-2045

Mailing address

1660 Oakton PL
Des Plaines, IL 60018-2045
Phone (847) 299-5588

Other identifiers 1

IdentifierTypeStateIssuer
0025056MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Generations at Oakton Pavillion3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1710974993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 OAKTON PL",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182045",
            "telephone_number": "847-299-5588",
            "fax_number": "847-493-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 OAKTON PL",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182045",
            "telephone_number": "847-299-5588",
            "fax_number": "847-493-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKTON PAVILLION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "LEWKOWITZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-299-5588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0025056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025056",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.