Organization Active NPI

Wentworth Homes LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Skokie, IL
National Provider Identifier
1790572634
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
WENTWORTH HOMES LLC
Practice address
8153 Lawndale Ave
Skokie, IL 60076-3321
Phone
(773) 419-5610
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Avraham Dimarsky
Title
Ceo
Phone
(773) 419-5610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

8153 Lawndale Ave
Skokie, IL 60076-3321

Mailing address

8153 Lawndale Ave
Skokie, IL 60076-3321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1790572634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8153 LAWNDALE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8153 LAWNDALE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763321",
            "telephone_number": "773-419-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTWORTH HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "DIMARSKY",
        "authorized_official_first_name": "AVRAHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-419-5610"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 23, 2025; 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.