Organization Active NPI

Brentwood Operating Company LLC

Doing business as Brentwood Sub-Acute Healthcare Center

  • Skilled Nursing Facility
  • Burbank, IL
National Provider Identifier
1720416787
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BRENTWOOD OPERATING COMPANY LLC
Doing business as
Brentwood Sub-Acute Healthcare Center
Practice address
5400 W 87TH St
Burbank, IL 60459-2913
Phone
(708) 423-1200
NPI assigned
Oct 29, 2013
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Kelle C Santoro
Title
SVP - Operations Finance
Phone
(832) 467-5728

Specialties & licenses 1

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

Addresses

Primary practice location

5400 W 87TH St
Burbank, IL 60459-2913

Mailing address

5400 W 87TH St
Burbank, IL 60459-2913

Other names 1

  • Brentwood Sub-Acute Healthcare Center 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": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1720416787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 W 87TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W 87TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592913",
            "telephone_number": "708-423-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SVP - OPERATIONS FINANCE",
        "authorized_official_telephone_number": "832-467-5728"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Sub-Acute Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.