Pioneer Gardens Senior Housing LP

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PIONEER GARDENS SENIOR HOUSING LP

Practice address

3800 S King Dr
Chicago, IL 60653-1785

Phone

(773) 420-4100

Fax

(773) 536-0720

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Shell Sr.

Title

Executive Director

Phone

(773) 420-4101

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pioneer Gardens Supportive Living Doing business as

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1861664013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S KING DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531785",
            "telephone_number": "773-420-4100",
            "fax_number": "773-536-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S KING DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531785",
            "telephone_number": "773-420-4100",
            "fax_number": "773-536-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER GARDENS SENIOR HOUSING LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-420-4101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32001233001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Gardens Supportive Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Pintozzi, M.D.
• Theo Pintzuk, LCSW
• Lauren Ashley Pinzas, MD
• Felipe Federico Omac Pio Jr.
• Pioneer Ambulance Service Incorporated
• Pioneer Healthcare Management, Inc.
• Pioneer Me Sales & Services Inc
• Geraldine K Piorkowski, PHD
• Erik P Pioro, MD, PHD
• Dominika A Piotrowska, D.N.

• Assisted Living Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.