Organization Active NPI

Arlington SD Skilled Nursing Facility LLC

Doing business as Avantara Arlington

  • Skilled Nursing Facility
  • Arlington, SD
National Provider Identifier
1831755362
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ARLINGTON SD SKILLED NURSING FACILITY LLC
Doing business as
Avantara Arlington
Practice address
120 Care Center Rd
Arlington, SD 57212-2047
Phone
(605) 983-5796
Fax
(605) 983-3941
NPI assigned
May 9, 2019
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Chaim Rajchenbach
Title
Ceo
Phone
(847) 679-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

120 Care Center Rd
Arlington, SD 57212-2047

Mailing address

3450 Oakton St
Skokie, IL 60076-2951
Phone (847) 679-9797

Other names 1

  • Avantara Arlington Doing business as

National Provider Directory

National Provider Directory

Locations

120 Care Center Rd
Arlington, SD 57212
Phone (605) 983-5796

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1831755362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762951",
            "telephone_number": "847-679-9797",
            "fax_number": "847-676-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CARE CENTER RD",
            "city": "ARLINGTON",
            "state": "SD",
            "postal_code": "572122047",
            "telephone_number": "605-983-5796",
            "fax_number": "605-983-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON SD SKILLED NURSING FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "RAJCHENBACH",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-679-9797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avantara Arlington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avantara Arlington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.