Organization Active NPI

Marianjoy Rehabilitation Hospital & Clinics Inc.

  • Skilled Nursing Facility
  • Wheaton, IL
National Provider Identifier
1750549267
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MARIANJOY REHABILITATION HOSPITAL & CLINICS INC.
Practice address
26W171 Roosevelt Rd
Wheaton, IL 60187-6078
Phone
(630) 909-8000
NPI assigned
May 30, 2008
Organization subpart
Yes
Parent organization
MARIANJOY REHABILITATION HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. Dominic Martin Serpico Jr.
Title
Director Finance
Phone
(630) 909-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

26W171 Roosevelt Rd
Wheaton, IL 60187-6078

Mailing address

26W171 Roosevelt Rd
Wheaton, IL 60187-6078

National Provider Directory

National Provider Directory
Part of
Marianjoy Rehab Hosp NE

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1750549267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876078",
            "telephone_number": "630-909-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANJOY REHABILITATION HOSPITAL & CLINICS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIANJOY REHABILITATION HOSPITAL",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SERPICO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "DIRECTOR FINANCE",
        "authorized_official_telephone_number": "630-909-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.