Tri-State Nursing & Rehabilitation Center Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0041186 Issued in IL

Legal business name

TRI-STATE NURSING & REHABILITATION CENTER INC

Practice address

2500 175TH St
Lansing, IL 60438-1801

Phone

(708) 474-7330

Fax

(708) 474-7391

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mark Steinberg

Title

Chief Operating Officer

Phone

(847) 905-3000

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1831214154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 175TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381801",
            "telephone_number": "708-474-7330",
            "fax_number": "708-474-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 175TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381801",
            "telephone_number": "708-474-7330",
            "fax_number": "708-474-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE NURSING & REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "847-905-3000"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0041186",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0041186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1230",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherwyn (Terry) Top, M.A.
• Leianne Torres, M.D.
• Touched a Dream Foundation
• Elwin Denard Trammell II
• Long Hai Tran, OD
• Tri-State Village Nursing and Rehabilitation Center LLC
• Truly Blessed Transportation Services LLC
• Angela Renee Turman, PHARM D.
• Marquita Turner
• United Dental Centers

• Nursing Facility/Intermediate Care Facility in Lansing, IL
• Providers in Lansing, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.