Trilogy Healthcare of Will, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1870437 Issued in IL

Legal business name

TRILOGY HEALTHCARE OF WILL, LLC

Doing business as

St. James Manor and Villas

Practice address

1251 E Richton Rd
Crete, IL 60417-1623

Phone

(708) 672-6700

Fax

(708) 367-4405

NPI assigned

Dec 11, 2008

Organization subpart

Yes

Parent organization

TRILOGY FSC INVESTORS, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Paul P Plevyak Jr.

Title

SVP - Finance

Phone

(502) 213-1710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. James Manor and Villas Doing business as

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1750526232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 E RICHTON RD",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171623",
            "telephone_number": "708-672-6700",
            "fax_number": "708-367-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E RICHTON RD",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604171623",
            "telephone_number": "708-672-6700",
            "fax_number": "708-367-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY HEALTHCARE OF WILL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRILOGY FSC INVESTORS, LLC",
        "enumeration_date": "2008-12-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "PLEVYAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SVP - FINANCE",
        "authorized_official_telephone_number": "502-213-1710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1870437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045435",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. James Manor and Villas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael D Szarmach, D.C.
• Destiny L. Tanas
• Ashley Teresiak
• Paula Thigpen, LCSW
• Carl Triebold, L.C.P.C, C.R.C
• Uniquely Resilient PLLC
• Douglas Van Til, LCSW
• Veld Vision Center
• Paul A Veld, O.D.
• Village of Crete

• Skilled Nursing Facility in Crete, IL
• Providers in Crete, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.