Franklin Grove Nursing Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0037168 Issued in IL

Legal business name

FRANKLIN GROVE NURSING CENTER

Practice address

502 N State St
Franklin Grove, IL 61031-9773

Phone

(815) 456-2374

Fax

(815) 456-2250

NPI assigned

Feb 15, 2006

Last updated

Oct 12, 2009By 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

Moe Herman

Title

Comptroller

Phone

(847) 982-2300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1861466849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7434 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773341",
            "telephone_number": "847-982-2300",
            "fax_number": "847-982-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N STATE ST",
            "city": "FRANKLIN GROVE",
            "state": "IL",
            "postal_code": "610319773",
            "telephone_number": "815-456-2374",
            "fax_number": "815-456-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN GROVE NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "MOE",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "847-982-2300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0037168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reilly Crofton
• Maribel Deguzman, OTD, OTR/L
• Franklin Grove Fire Protection District
• Franklin Grove Living & Rehabilitation Center
• Franklin Grove Living & Rehabilitation Center, LLC
• Franklin Grove Nursing Center
• Kelsy Ann Janssen, M.S. OTR/L
• Sidney P Kirkland, D.C.
• Kreider Services, Inc.
• Stefanie Marie Obenhaus

• Skilled Nursing Facility in Franklin Grove, IL
• Providers in Franklin Grove, 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 Oct 12, 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.