Holy Family Villa

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0045393 Issued in IL

Legal business name

HOLY FAMILY VILLA

Practice address

12220 Will Cook Rd
Palos Park, IL 60464-7332

Phone

(630) 257-2291

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Roberta J. Magurany

Title

Administrator

Phone

(630) 257-2291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1740239334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 WILL COOK RD",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604647332",
            "telephone_number": "630-257-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 WILL COOK RD",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604647332",
            "telephone_number": "630-257-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "MAGURANY",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-257-2291",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0045393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.