Organization Active NPI

JT Care LLC

Doing business as Joliet Terrace Nursing Center

  • Nursing Facility/Intermediate Care Facility
  • Joliet, IL
National Provider Identifier
1790056703
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
JT CARE LLC
Doing business as
Joliet Terrace Nursing Center
Practice address
2230 McDonough St
Joliet, IL 60436-1842
Phone
(815) 729-3801
Fax
(815) 730-0960
NPI assigned
Jan 23, 2012
Organization subpart
Yes
Parent organization
JLM FINANCIAL HEALTHCARE, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Authorized official

Name
Mr. Jamie Nickle
Title
Director
Phone
(630) 501-0996

Specialties & licenses 1

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

Addresses

Primary practice location

2230 McDonough St
Joliet, IL 60436-1842

Mailing address

1S443 Summit Ave
Oakbrook Terrace, IL 60181-3989
Phone (847) 767-5763

Other identifiers 1

IdentifierTypeStateIssuer
0051698MedicaidIL

Other names 1

  • Joliet Terrace Nursing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Joliet Terrace Nursing Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1790056703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S443 SUMMIT AVE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813989",
            "telephone_number": "847-767-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 MCDONOUGH ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604361842",
            "telephone_number": "815-729-3801",
            "fax_number": "815-730-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JLM FINANCIAL HEALTHCARE, LP",
        "enumeration_date": "2012-01-23",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "NICKLE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-501-0996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051698",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joliet Terrace Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.