Lake Shore Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LAKE SHORE CARE CENTER LLC

Doing business as

Lake Shore Care Center

Practice address

7200 N Sheridan Rd
Chicago, IL 60626-2613

Phone

(773) 973-7200

Fax

(773) 338-9373

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Frances Meehan, ESQ

Title

Attorney

Phone

(312) 521-2467

Specialties & licenses 1

Addresses

Other names 1

• Lake Shore Care Center Doing business as

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1750820494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262613",
            "telephone_number": "773-973-7200",
            "fax_number": "773-338-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262613",
            "telephone_number": "773-973-7200",
            "fax_number": "773-338-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "312-521-2467",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Shore Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lake Shore Medical Associates, LTD.

• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, 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 Feb 14, 2017; 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.