Village Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0022608 Issued in IL

Legal business name

VILLAGE NURSING HOME

Practice address

9000 Lavergne Ave
Skokie, IL 60077-1618

Phone

(847) 679-2322

NPI assigned

Jun 30, 2006

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

Samuel Brandman

Title

Secretary and Tresure

Phone

(773) 338-4400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861420457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 LAVERGNE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771618",
            "telephone_number": "847-679-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 LAVERGNE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771618",
            "telephone_number": "847-679-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANDMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "SECRETARY AND TRESURE",
        "authorized_official_telephone_number": "773-338-4400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0022608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBS PROVIDER NR.",
            "identifier": "50367",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milica Videnovic, RBT
• Kara Suzanne Vig, M.D.
• Aviva Esther Vilenski
• Village Crossing Dentistry LTD
• Village Crossing Optical
• Village of Skokie
• Village of Skokie
• Idania Villarreal, LMT
• Emmanuel Justin Villegas, FNP-BC
• Diosdado R. Viloria

• Skilled Nursing Facility in Skokie, IL
• Providers in Skokie, 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 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.