Embassy Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1786501 Issued in IL

Legal business name

EMBASSY HOLDINGS LLC

Doing business as

Embassy Health Care Center

Practice address

555 W Kahler Rd
Wilmington, IL 60481-1527

Phone

(815) 476-2200

NPI assigned

Dec 29, 2006

Last updated

Jun 5, 2009By 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

Mr. Alan Mandel

Title

Member

Phone

(847) 329-8450

Specialties & licenses 1

Addresses

Other names 1

• Embassy Health Care Center Doing business as

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1780740209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773342",
            "telephone_number": "847-329-8450",
            "fax_number": "847-329-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W KAHLER RD",
            "city": "WILMINGTON",
            "state": "IL",
            "postal_code": "604811527",
            "telephone_number": "815-476-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBASSY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-329-8450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1786501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embassy Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Wilmington, IL
• Providers in Wilmington, 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 Jun 5, 2009; 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.