NPIMap

Organization Active NPI

Three Crowns Park

  • Skilled Nursing Facility
  • Evanston, IL
National Provider Identifier
1790900470
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0012773 Issued in IL
Legal business name
THREE CROWNS PARK
Practice address
2323 McDaniel Ave
Evanston, IL 60201-2540
Phone
(847) 328-8700
Fax
(847) 328-8274
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Susan J Morse
Title
Executive Director
Phone
(847) 328-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0012773 IL Primary

Addresses

Primary practice location

2323 McDaniel Ave
Evanston, IL 60201-2540

Mailing address

2323 McDaniel Ave
Evanston, IL 60201-2540
Phone (847) 328-8700

National Provider Directory

National Provider Directory
Tax ID family
Three Crowns Park2 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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790900470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 MCDANIEL AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012540",
            "telephone_number": "847-328-8700",
            "fax_number": "847-328-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 MCDANIEL AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012540",
            "telephone_number": "847-328-8700",
            "fax_number": "847-328-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE CROWNS PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-328-8700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0012773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • 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.