Waterford Nursing & Rehabilitation Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0038612 Issued in IL

Legal business name

WATERFORD NURSING & REHABILITATION CENTER INC

Practice address

7445 N Sheridan Rd
Chicago, IL 60626-1818

Phone

(773) 338-3300

Fax

(773) 338-5868

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Sylvia Y Herlihy, RN

Title

Executive Director

Phone

(773) 338-3300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1821087008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261818",
            "telephone_number": "773-338-3300",
            "fax_number": "773-338-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261818",
            "telephone_number": "773-338-3300",
            "fax_number": "773-338-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD NURSING & REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "HERLIHY",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-338-3300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0038612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, 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 Sep 1, 2016; 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.