Elk Grove Village Associates, LLP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELK GROVE VILLAGE ASSOCIATES, LLP

Doing business as

Alexian Village of Elk Grove

Practice address

975 Martha St
Elk Grove Village, IL 60007-3414

Phone

(847) 437-8070

Fax

(847) 806-0836

NPI assigned

May 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Greg Wheaton

Title

Executive Director

Phone

(847) 437-8070

Specialties & licenses 1

Addresses

Other names 1

• Alexian Village of Elk Grove Doing business as

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821200221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 MARTHA ST",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073414",
            "telephone_number": "847-437-8070",
            "fax_number": "847-806-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 MARTHA ST",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073414",
            "telephone_number": "847-437-8070",
            "fax_number": "847-806-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK GROVE VILLAGE ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEATON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-437-8070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexian Village of Elk Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Assisted Living Facility in Illinois

• 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.