River Oaks and Park Forest Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RIVER OAKS AND PARK FOREST OPCO LLC

Doing business as

Green Oaks Supportive Living of Park Forest

Practice address

101 Main St
Park Forest, IL 60466-2375

Phone

(312) 382-3246

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Beard

Title

Manager

Phone

(312) 382-3231

Specialties & licenses 1

Addresses

Other names 1

• Green Oaks Supportive Living of Park Forest Doing business as

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

CLIA laboratory certificates

Tax ID family

Green Oaks Supportive Living of Park Forest2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• River Oaks and Park Forest Opco LLC

  dba Green Oaks Supportive Living of River Oaks

  • Assisted Living Facility
  • Calumet City, IL
  • NPI 1023731874
  NPD tax ID

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1740903590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611410",
            "telephone_number": "312-382-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662375",
            "telephone_number": "312-382-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OAKS AND PARK FOREST OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-382-3231"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Oaks Supportive Living of Park Forest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerome R Randall, DPM
• Shawnice Randle
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• Resilient Home Care Services, LLC
• Michelle Riggins, FNP
• Carina Robinson
• Carolanda Tiffany Rollins, COTA
• J'Vohnne M. Rosario
• Rosie Mae Home Care, LLC (Rosie Mae Home Care)
• Rosie Mae Home Care, LLC-Supportive Living

• Assisted Living Facility in Park Forest, IL
• Providers in Park Forest, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.