Fairmont Care Centre, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

000040493 Issued in IL

Legal business name

FAIRMONT CARE CENTRE, INC.

Practice address

5061 N Pulaski Rd
Chicago, IL 60630-2706

Phone

(773) 604-8112

Fax

(773) 604-8113

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Vicere

Title

V.P. Finance

Phone

(773) 604-4416

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1861488231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302706",
            "telephone_number": "773-604-8112",
            "fax_number": "773-604-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302706",
            "telephone_number": "773-604-8112",
            "fax_number": "773-604-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT CARE CENTRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VICERE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "V.P. FINANCE",
        "authorized_official_telephone_number": "773-604-4416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "000040493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, 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 Apr 20, 2008; 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.