Goldblatts of Chicago Limited Partnership

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GOLDBLATTS OF CHICAGO LIMITED PARTNERSHIP

Doing business as

New City Supportive Living

Practice address

4707 S Marshfield Ave
Chicago, IL 60609-4159

Phone

(773) 376-1223

Fax

(773) 376-1226

NPI assigned

Sep 24, 2015

Last updated

Aug 28, 2020By 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

Mrs. Deona Lewis Thomas

Title

President of Management Agent

Phone

(773) 952-8004

Specialties & licenses 1

Addresses

Other names 1

• New City Supportive Living Doing business as

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1760851364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 S MARSHFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094159",
            "telephone_number": "773-376-1223",
            "fax_number": "773-376-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 S MARSHFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094159",
            "telephone_number": "773-376-1223",
            "fax_number": "773-376-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDBLATTS OF CHICAGO LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS THOMAS",
        "authorized_official_first_name": "DEONA",
        "authorized_official_title_or_position": "PRESIDENT OF MANAGEMENT AGENT",
        "authorized_official_telephone_number": "773-952-8004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New City Supportive Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New City Supportive Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Chicago, IL
• Providers in Chicago, 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 Aug 28, 2020; 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.