Specialty Senior Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SPECIALTY SENIOR CARE PLLC

Practice address

1005 Alexander CT # D
Cary, IL 60013-1891

Phone

(847) 538-6636

NPI assigned

Jun 27, 2022

Last updated

Oct 7, 2024By 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

Sara Brubacher, NPNPI 1497174676

Title

Owner/Authorized Official

Phone

(847) 538-6636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara R Brubacher, APN

  • Family Nurse Practitioner
  • Cary, IL
  • NPI 1497174676
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1821720079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 HIGH RD",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 ALEXANDER CT # D",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131891",
            "telephone_number": "847-538-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SENIOR CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "BRUBACHER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "847-538-6636",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lita Inga Simanis, LCSW
• Thomas J. Skleba, D.D.S.
• April R Smith, PSY.D.
• Laura Ann Smith, RD, LD
• Roberta Marie Smith, M.S.W., L.C.S.W.
• Kristen Elizabeth Splitt, SLP
• Rebecca Stack
• Erin Kathleen Stawarz, MHS, CCC-SLP L
• Rick A Stojak, PT
• Elizabeth A Tazelaar, PT,MPT

• Family Nurse Practitioner in Cary, IL
• Providers in Cary, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.