Lakefront Nursing and Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1738852 Issued in IL

Legal business name

LAKEFRONT NURSING AND REHABILITATION LLC

Practice address

7618 N Sheridan Rd
Chicago, IL 60626-1418

Phone

(847) 743-7711

Fax

(847) 761-3387

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Menachem Shabat

Title

Owner

Phone

(773) 743-7711

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770533960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261418",
            "telephone_number": "847-743-7711",
            "fax_number": "847-761-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261418",
            "telephone_number": "847-743-7711",
            "fax_number": "847-761-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEFRONT NURSING AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHABAT",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-743-7711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1738852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363374548001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 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.