Organization Active NPI

Winfield Woods Healthcare Center LLC

  • Nursing Facility/Intermediate Care Facility
  • Skokie, IL
National Provider Identifier
1780929596
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
WINFIELD WOODS HEALTHCARE CENTER LLC
Practice address
8170 McCormick Blvd
Suite118
Skokie, IL 60076-2961
Phone
(847) 674-2800
Fax
(847) 674-4133
NPI assigned
Dec 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Barak Baver
Title
Owner
Phone
(773) 575-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X IL Primary

Addresses

Primary practice location

8170 McCormick Blvd
Suite118
Skokie, IL 60076-2961

Mailing address

28W141 Liberty St
Winfield, IL 60190-1955
Phone (630) 668-9696

Other identifiers 1

IdentifierTypeStateIssuer
364472405001MedicaidIL

National Provider Directory

National Provider Directory

Locations

8170 McCormick Blvd
Ste 118
Skokie, IL 60076
Phone (847) 674-2800

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780929596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28W141 LIBERTY ST",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901955",
            "telephone_number": "630-668-9696",
            "fax_number": "630-668-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 MCCORMICK BLVD",
            "address_2": "SUITE118",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762961",
            "telephone_number": "847-674-2800",
            "fax_number": "847-674-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINFIELD WOODS HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAVER",
        "authorized_official_first_name": "BARAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-575-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364472405001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.